白内障超声乳化摘除+后房型折叠式人工晶体植入术治疗闭角型青光眼76例分析

目的 观察白内障超声乳化摘除+后房型折叠式人工晶体植入术治疗合并白内障的闭角型青光眼的疗效.方法 回顾分析我科住院行白内障超声乳化摘除+后房型折叠式人工晶体植入术治疗合并白内障的闭角型青光眼且资料完整的76例(106眼),其中78眼为原发性急性闭角型青光眼,28眼为原发性慢性闭角型青光眼,患者均伴有明显的晶状体混浊.随访6个月至24个月,平均14.5个月.结果 急性闭角型青光眼组术前眼压(48.2士13.7)mm Hg(1 mm Hg=0.133 kPa),术后眼压(12.9士3.8)mm Hg.慢性闭角型青光眼组术前眼压(33.6±9.2)mm Hg.术后眼压(33.6±9.2)mm Hg.术后90只眼(85.0%)最佳矫正视力提高.结论 白内障超声乳化摘除+后房型折叠式人工晶体植入术可有效治疗合并白内障的闭角型青光眼.

Analysis of 76 cases on the cure of angle-closure glaucoma with phacoemulsification cataract excision and posterior chamber folding intraocular lens

Objective To observe the effect on the cure of angle-closure glaucoma using phacoemulsification cataract excision and posterior chamber folding intraocular lens.Methods Analyse 76 angle-closure glaucoma cases（106 eyes） in our department,which are cured using phacoemulsification cataract excision and posterior chamber folding intraocular lens.Among the 108 eyes,78 eyes are primary acute angle-closure glaucoma,28 eyes are primary chronic angle-closure glaucoma.The patients all have obvious clouded lens.Follow-up of patients after the operation for 6 to 24 months（14.5 months in average）.Results The intraocular pressures of acute angle-closure glaucoma before operation are（48.2±13.7）mm Hg（1 mm Hg=0.133 kPa）,but after operation they are（12.9±3.8）mm Hg.The intraocular pressures of chronic angle-closure glaucoma before operation are（33.6±9.2）mm Hg,but after operation they are（33.6±9.2）mm Hg.The best corrected visual acuity improves among 90 eyes（accounting for 85.0%）.Conclusion The use of phacoemulsification cataract excision and posterior chamber folding intraocular lens in curing angle-closure glaucoma is effective.