超声乳化联合房角粘连分离术治疗闭角型青光眼

目的:探讨超声乳化联合房角粘连分离术对闭角型青光眼患者的疗效。方法:选取闭角型青光眼合并白内障患者86例96眼作为研究对象,分为前房角粘连关闭18°～270°(含270°)(A组)和大于270°(B组),观察两组治疗效果。结果:所有患者手术均成功,术中未见后囊破裂。经治疗随访6mo后,A组眼压和降眼压药物使用种类均较少,周边前房角深度和远视力以及房角粘连关闭范围均优于B组,均P<0.05;两组患者治疗后主要并发症为角膜水肿(各5例,5.8%),经积极对症治疗后好转。结论:超声乳化联合房角粘连分离术对前房角粘连关闭在18°～270°(含270°)之间者疗效较好。

Clinical observation of phacoemulsification combined with goniosynechialysis for treatment of angle-closure glaucoma

AIM: To investigate the clinical effects of phacoemulsification combined with goniosynechialysis for treatment of angle-closure glaucoma.

METHODS: A total of 86 patients(96 eyes)with angle-closure glaucoma and cataract were enrolled in the study and they were divided into two groups. Group A included patients with anterior goniosynechia closure of 18°-270°(270° included), and group B included patients with anterior goniosynechia closure greater than 270°.The therapeutic effects were observed.

RESULTS: Operation was successful in all patients and there was no intraoperative posterior capsule rupture. During the 6-month follow-up, the intraocular pressure and drug use of group A were both less than those of group B(P<0.05); the anterior chamber depth, the distance vision and goniosynechia closure range in Group A were better than those in Group B(P<0.05). Corneal edema was the main complication in both groups(5 cases,5.8% in each group)and all patients were cured after symptoms were properly controlled.

CONCLUSION: Phacoemulsification combined with goniosynechialysis was effective for patients with anterior goniosynechia closure of 18°-270°(270° included).