白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障的疗效观察

目的观察白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障的临床疗效,以期为临床治疗提供理论支持。方法我院于2010年2月~2012年1月采用白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障50例80只眼,观察术后的视力情况、眼压及前房深度、并发症情况。结果术后随着随访时间的延长,患者术后的视力逐渐改善。术后3个月最佳矫正视力≥0.5达80.0%。术后眼压较术前明显降低,而前方深度术后较术前明显增加,差异有统计学意义(P<0.05)。结论采用白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障能明显改善患者的视力,且并发症少,值得推广和应用。

Efficacy of phacoemulsification and intraocular lens implantation in the treatment of angle-closure glaucoma and cataract

Objective To observe the clinical efficacy of phacoemulsification with intraocular lens implantation in the treatment of angle-closure glaucoma and cataract, in order to provide theoretical support for clinical treatment. Methods From February 2010 to January 2012 using the 50 cases, 80 eyes, phacoemulsification with intraocular lens implantation in the treatment of angle-closure glaucoma and cataract and observed postoperative visual acuity, intraocular pressure and an- terior chamber depth complications. Results With the extension of the follow-up time after surgery, postoperative visual acuity gradually improved. After 3 months the best corrected visual acuity ≥ 0.5 up to 80.0%. The postoperative IOP was significantly lower than the preoperative, after the front depth increased significantly compared with the preoperative and the difference was statistically significant （P 〈 0.05）. Conclusion Phacoemulsification with intraocular lens implantation in the treatment of angle-closure glaucoma and cataract can significantly improve patients＇ vision and have fewer complications, worthy of promotion and application.