白内障超声乳化联合房角分离术治疗原发性闭角型青光眼的临床观察

目的观察白内障超声乳化联合房角分离术治疗原发性闭角型青光眼(PACG)的临床疗效。方法采用白内障超声乳化联合房角分离术治疗PACG,比较术前及术后6个月患者视力、眼压、房角等情况。结果共58例病例纳入本次研究,其中急性PACG(A组)37例,慢性PACG(B组)21例。分别记录术前及术后6个月视力、眼压、房角等情况。A组视力由术前(0.11±0.08)提高至(0.5±0.15),差异有统计学意义(P<0.05);B组视力由(0.4±0.16)提高至(0.6±0.14),差异有统计学意义(P<0.05);A组眼压由术前(4.16±1.50)kPa降至(2.03±0.61)kPa,差异有统计学意义(P<0.05);B组眼压由术前(3.51±1.30)kPa降至(2.30±0.73)kPa(P<0.05)。其中A组1例眼压未控制正常,B组6例未控制正常。结论白内障超声乳化联合房角分离术能有效治疗PACG,但对慢性闭角型青光眼的治疗效果相对较差。

Efficacy of phacoemulsification combined with goniosynechialysis in treatment of primary angle closure glaucoma

Objective To explore the clinical effect of phacoemulsification combined with goniosynechialysis in the management of primary angle closure glaucoma （PACG）. Methods PACG patients received phacoemulsification combined with goniosynechialysis. The preoperative and 6-month postoperative visual acuity, intaocular pressure （IOP） and anterior chamber angle were recorded and compared. Results Fifty-eight patients were enrolled in this clinical study, of 37 patients suffered with acute PACG （group A）, and of 21 patients suffered with chronic PACG （group B）. The average visual acuity was improved from （0.11±0.08） to （0.5±0.15） in group A, the difference had statistical significance （ P 〈0.05）. The average visual acuity was improved from （0.4±0.1） to （0.6±0.14） in group B, the difference had statistical significance （ P 〈0.05）. The average intraocular pressure was reduced from （4.16±1.50） kPa to （2.03!0.61） kPa in group A, the difference had statistical significance （ P 〈0.05）, and the average intraocular pressure was reduced from （3.51 ±1.30） kPa to （2. 30±0.73） kPa in group B, the difference had statistical significance （ P 〈0.05）. Of one patient in group A resulted in uncontrolled-IOP, and of six in group B resulted in uncontrolled-IOP. Conclusion Phacoemulsification combined with goniosynechialysis is an effective and safe treatment for PACG, but the effect is relatively poor for chronic PACG.