白内障超声乳化术治疗闭角型青光眼并白内障

目的:观察白内障超声乳化并人工晶状体植入术及联合小梁切除术治疗闭角型青光眼并白内障的安全性和有效性。 方法:闭角型青光眼合并白内障患者251 例279眼,208眼前房角宽度为NⅠ～NⅡ，单纯施行白内障超声乳化并人工晶状体植入术； 71眼前房角宽度为NⅢ～NⅣ，施行白内障超声乳化并人工晶状体植入联合小梁切除术。 结果:术后随访3mo，单纯超声乳化组208眼眼压均保持在正常范围；超声乳化联合手术组68眼眼压保持在正常范围。术后1wk有3眼眼压仍波动在20～25mmHg,经给予50g/L贝特舒眼液点眼治疗，眼压控制正常。全部病例视力较术前提高,未发生严重并发症。 结论:白内障超声乳化术并人工晶状体植入及联合小梁切除术对闭角型青光眼患者的治疗安全、有效、并发症少。

Clinical observation on phacoemulsification in patients with cataract and angle-closure glaucoma

AIM:To observe the effectiveness and safety of phacoemulsification with intraocular lens (IOL) implantation or combined with trabeculectomy in patients with cataract and angle-closure glaucoma. METHODS:In 251 cases (279 eyes)with cataract and angle-closure glaucoma,208 eyes in which the wideness of the anterior chamber angle was NⅠ-NⅡ had been performed phacoemulsification and IOL implantation ;71 eyes in which the wideness of the anterior chamber angle was NⅢ-NⅣ had been performed phacoemulsification and IOL implantation combined with trabeculectomy. RESULTS: Followed up for 3 months,intraocular pressure kept normal in all 208 eyes in the group of phacoemulsification and IOL implantation;intraocular pressure kept normal in 68 eyes in the group of phacoemulsification and IOL implantation combined with trabeculectomy,intraocular pressure in 3 eyes was 20-25mmHg for 1 week after operation,and then was controlled to normal with 50g/L Betoptic. CONCLUSION:Phacoemulsification and intraocular lens implantation or combined with trabeculectomy is an effective and safe surgical technique with less complications for the cataract and angle-closure glaucoma.