小切口白内障摘除术治疗急性闭角型青光眼合并白内障的疗效

目的 研究急性闭角型青光眼合并白内障患者给予小切口白内障摘除术的疗效.方法 84例(84眼)急性闭角型青光眼合并白内障患者,根据手术方法不同分为对照组及观察组,各42例(42眼).对照组采取小梁切除术联合白内障摘除术治疗,观察组采取小切口白内障摘除术治疗.对比两组手术前后相关指标(视力、眼压、前房深度)、临床疗效及并发...

Efficacy of small incision cataract extraction for acute angle-closure glaucoma combined with cataract

Objective To study the efficacy of small incision cataract extraction for acute angle-closure glaucoma combined with cataract. Methods A total of 84 patients(84 eyes) with acute angle-closure glaucoma and cataract were divided into control group and observation group according to different surgical methods, each with 42 cases(42 eyes). The control group was treated with trabeculectomy combined with cataract extraction, and the observation group was treated with small incision cataract extraction. The related indicators(visual acuity,intraocular pressure, anterior chamber depth) before and after surgery, clinical efficacy and complications were compared between the two groups. Results After surgery, the visual acuity(0.51±0.05), anterior chamber depth(3.84±0.28) mm of the observation group were higher than(0.41±0.09),(2.96±0.22) mm of the control group,and the intraocular pressure(14.25±1.36) mm Hg(1 mm Hg=0.133 kPa) was lower than(18.10±1.25) mm Hg of the control group, and the difference was statistically significant(P<0.05). The total effective rate of treatment 92.86% in the observation group was higher than 71.43% in the control group, and the difference was statistically significant(P<0.05). The postoperative complication rate 2.38% of the observation group was lower than 21.43%of the control group, and the difference was statistically significant(P<0.05). Conclusion Small incision cataract extraction for patients with acute angle-closure glaucoma and cataract can effectively improve the patient’s visual acuity, reduce intraocular pressure, and the operation is safe, with fewer postoperative complications.