白内障摘除人工晶状体植入联合房角分离治疗闭角型青光眼

目的：观察小切口白内障晶状体摘除人工晶状体植入联合房角分离术治疗闭角型青光眼的临床疗效。

方法：回顾性分析63例72眼并发有白内障的闭角型青光眼手术患者的临床资料，通过小切口白内障摘除+人工晶状体植入联合房角分离术治疗。术前和术后常规做视力、裂隙灯、眼压、前房角镜检查，随访1～6mo。

结果：患者72眼中有70眼术后视力均较术前明显提高。术后3mo及6mo眼压观察，有65例眼压明显低于术前，差异有统计学意义(P<0.05)，且并发症较少。

结论：小切口白内障晶状体囊外摘除+人工晶状体植入联合房角分离治疗闭角型青光眼并发白内障效果明显，无严重并发症，手术操作简单、经济、安全，对于无超声乳化设备的基层医院值得推广应用。

Clinical analysis of mini-incision cataract extraction with IOL and goniosynechialysis for angle-closure glaucoma

AIM: To investigate the efficacy of mini-incision cataract extraction with intraocular lens(IOL)and goniosynechialysis for angle-closure glaucoma.

METHODS: Clinical data of 63 cases(72 eyes)withangle-closure glaucoma were analyzed retrospectively. All of them accepted the surgery of mini-incision cataract extraction with IOL and goniosynechialysis. Regular visual acuity(VA), slit-lamp, intraocular pressure(IOP)and gonioscope examination were performed before and after surgery. They were followed up for 1-6 months.

RESULTS: VA improved significantlypostoperation in 70 eyes. At the time of 3 and 6 months follow-up, IOP was significantly lower than that before operation in 65 eyes(P<0.05)and few complications occurred.

CONCLUSION: The efficacy ofmini-incision cataract extraction with IOL and goniosynechialysis for angle-closure glaucoma was definite and no severe complications occurred. This surgery should be widely applied in the primary hospitals without phacoemulsification equipment since it is economic, safe and easy to perform.