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超声乳化联合小梁切除术在慢性闭角型青光眼眼压控制的效果
引用本文:黄玉琴,王林农,王建. 超声乳化联合小梁切除术在慢性闭角型青光眼眼压控制的效果[J]. 江苏医药, 2012, 38(9): 1073-1075
作者姓名:黄玉琴  王林农  王建
作者单位:1. 210028,江苏省中医药研究院眼科
2. 南京医科大学附属南京市第一医院眼科
摘    要:目的探讨白内障超声乳化摘除联合小梁切除术对慢性闭角型青光眼眼压的控制效果。方法慢性闭角型青光眼伴有白内障患者54例(54只眼),随机分为两组:A组,28例,行超声乳化白内障摘除联合小梁切除术;B组,26例,行单纯超声乳化白内障摘除术。观察两组术前、术后1、3、6、9、12、15、18、21和24个月的眼内压、使用降眼压药物的种数以及术后并发症。结果与B组比较,A组术后的眼压控制效果好,使用降眼压药物的种数少。结论超声乳化联合小梁切除术能够更有效地控制慢性闭角型青光眼眼压。

关 键 词:慢性闭角型青光眼  眼压  超声乳化  小梁切除

Efficacy of combined phacotrabeculectomy in the control of intraocular pressure in patients with chronic angle closure glaucoma with coexisting cataract
HUANG Yuqin , WANG Linnong , WANG Jian. Efficacy of combined phacotrabeculectomy in the control of intraocular pressure in patients with chronic angle closure glaucoma with coexisting cataract[J]. Jiangsu Medical Journal, 2012, 38(9): 1073-1075
Authors:HUANG Yuqin    WANG Linnong    WANG Jian
Affiliation:. Department of Ophthalmology,Jiangsu Provincial Hospital of Integrated Chinese and Western Medicine,Nanjing 210028, CHINA
Abstract:Objective To evaluate the effects of combined phacotrabeculectomy in the control of intraocular pressure(IOP) in the patients with chronic angle closure glaucoma(CACG) with coexisting cataract. Methods A total of 54 patients(54 eyes) with coexisting cataract was treated with combined phacotrabeculectomy(28 cases,group A) or with phacoemulsification alone(26 cases, group B).The IOP,kinds of IOP-lowering drugs and postoperative complications were compared before surgery and on the 1st,3rd,6th,9th,12th,15th,18th,21st,and 24th month after operation. ResultsCompared to group B,IOP was cintrilled better with less kinds of IOP-lowering drugs(P<0.01). ConclusionCombined phacotrabeculectomy may effectively control CACG with coexisting cataract.
Keywords:Chronic angle closure glaucoma  Intraocular pressure  Phacoemulsification  Trabeculectomy
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