超声乳化白内障吸除人工晶体植入治疗闭角型青光眼的临床优势分析

目的观察超声乳化白内障吸除人工晶体植入治疗闭角型青光眼的临床优势。方法选择2009年1月至2011年1月收住本院的闭角型青光眼64例（64眼）,根据入院顺序平分为两组-治疗组与对照组各32例。治疗组采用颞侧隧道式透明角膜切口超声乳化联合人工晶体植入术,对照组采用复合式小梁切除手术。结果两组术前视力相差不大,但是治疗后,治疗组术后最佳矫正视力大于0.8者8眼,0.3～0.8者20眼。治疗组的视力好转情况明显好于对照组（P〈0.05）。两组治疗前平均眼压比较无显著性差异（P〉0.05）,治疗后都有明显下降（P〈0.05）,治疗组的眼压下降幅度明显高于对照组（P〈0.05）。两组术中与术后并发症情况对比无显著性差异,具有可比性（P〉0.05）。结论超声乳化白内障吸除人工晶体植入治疗闭角型青光眼是一种可供选择的安全有效的手术方法,能有效提高视力与降低眼压,无术中与术后严重并发症发生,值得推广应用。

Analysis on clinical advantages of phacoemulsification combined with artificial lens implantation for angle-closure glaucoma

Objective To observe the clinical advantages of phacoemulsification combined with artificial lens implantation for angle-closure glaucoma.Methods Sixty four patients with angle-closure glaucoma in our hospital from January 2009 to January 2011 were divided into treatment group（n= 32） and control group（n= 32） by admission sequence.The patients in treatment group were treated with phacoemulsification through temporal clear corneal tunnel incision and artificial lens implantation while those in control group were treated with compound trabeculectomy.Results No difference in visual acuity was found before treatment,however,eight patients with best corrected visual acuity higher than 0.8 and 20 patients with best corrected visual acuity between 0.3 and 0.8 were found in treatment group after treatment,the visual acuity was better in treatment group than that in control group after treatment（P0.05）.There was no difference in average intraocular pressure between the two groups prior to operation（P0.05）,the intraocular pressure decreased significantly after treatment in both groups with grater decease in treatment group（P0.05）.Complications of both groups showed no difference intra and post operation,with comparability（P0.05）.Conclusion Phacoemulsification combined with artificial lens implantation for angle-closure glaucoma is safe and effective.It can improve visual acuity and decrease intraocular pressure without inducing severe complications intra and post operation.