超声乳化联合房角分离术治疗原发性闭角型青光眼并发白内障的临床效果分析

目的探讨超声乳化联合房角分离术治疗原发性闭角型青光眼并发白内障的临床效果分析。方法本研究选取2017年8月-2018年8月在辽宁省某医院就诊的84例原发性闭角型青光眼合并白内障患者为研究对象。采用随机数字表法将患者分为研究组与对照组,每组42例。对照组患者采用房角分离术治疗;研究组患者采用超声乳化联合房角分离术治疗。比较2组患者术前及术后1个月、3个月及6个月时的眼压变化情况;比较2组患者术前及术后6个月时的视力、房角粘连角度、中央前房深度及房角宽度;比较2组患者并发症发生情况。结果术后1个月、3个月及6个月时,研究组患者眼压为(30.23±12.72)mmHg(1 mmHg=0.133 kPa),(16.27±9.17)mmHg及(14.34±7.32)mmHg,均低于对照组的(35.14±11.15)mmHg,(21.35±10.32)mmHg及(19.69±7.92)mmHg,差异均有统计学意义(P<0.05)。术后6个月时,研究组患者视力为(0.76±0.23)°,高于对照组的(0.41±0.11)°;研究组患者房角粘连角度为(162.63±51.22)°,低于对照组的(192.44±60.25)°;研究组患者中央前房深度为(3.75±0.33)mm,深于对照组的(2.91±0.45)mm;研究组患者房角宽度为(3.98±0.47)mm,宽于对照组的(2.52±0.32)mm,差异均有统计学意义(P<0.05)。结论对已行小梁切除术的原发性闭角型青光眼并发白内障的患者再行超声乳化联合房角分离术可取得显著效果,有助于恢复患者视力,改善房角粘连、中央前房深度及房角宽度等,安全有效,值得临床推广应用。

Clinical effect of phacoemulsification with goniosynechialysis in the treatment of primary angle closure glaucoma with cataract

Objective Analyze the effect of phacoemulsification combined with goniosynechialysis in the treatment of primary angle closure glaucoma with cataract.Methods Eighty-forth patients with primary angle closure glaucoma and cataract in a hospital in Liaoning from August 2017 to August 2018 were selected as the study object.Randomly divided into study group and control group by digital table method,42 cases in each group.The control group was treated with goniosynechialysis;The study group was treated with phacoemulsification and goniosynechialysis.The changes of intraocular pressure before and 1,3 and 6 months after operation were compared between the two groups;The visual acuity,angle of angle adhesion,depth of central anterior chamber and width of angle were compared before and 6 months after operation;The complications of the two groups were compared.Results At 1,3 and 6 months after operation,the intraocular pressure of the study group was(30.23±12.72)mmHg(1 mmHg=0.133 kPa),(16.27±9.17)mmHg and(14.34±7.32)mmHg,which were lower than that of the control group(35.14±11.15)mmHg,(21.35±10.32)mmHg and(19.69±7.92)mmHg,The difference was statistically significant(P<0.05).At 6 months after operation,the visual acuity of the study group was(0.76±0.23)°,which were higher than that of the control group(0.41±0.11)°;The angle of angle adhesion in the study group was(162.63±51.22)°,which were lower than that of the control group(192.44±60.25)°;The depth of anterior chamber of the study group was(3.75±0.33)mm,which were deeper than that of the control group(2.91±0.45)mm;The width of the study group was(3.98±0.47)mm,which were wider than that of the control group(2.52±0.32)mm,The difference was statistically significant(P<0.05).Conclusions After trabeculectomy,Phacoemulsification combined with goniosynechialysis in the treatment of primary angle closure glaucoma with cataract was effective,It helps to restore vision,improve angle adhesion,central anterior chamber depth and angle width,It is safe and effective,and worth popularizing.