白内障超声乳化术治疗闭角型青光眼临床分析

目的:评价白内障超声乳化吸除联合人工晶状体植入术治疗临床前期原发性闭角型青光眼的疗效。方法:2006-06/2007-12就诊于我院白内障患者中,38例(38眼)经术前检查确诊为原发性闭角型青光眼临床前期,行白内障超声乳化吸除联合人工晶状体植入术,比较术前及术后周边前房深度、房角宽度、青光眼暗室加俯卧试验、眼压、视力。结果:术前所有患者周边前房<1/4CT,静态前房角镜检查>3/4象限不见巩膜突,青光眼暗室加俯卧试验阳性;术后所有患者周边前房加深,房角加宽,青光眼暗室加俯卧试验均为阴性。手术前后眼压无统计学差异,所有患者视力均提高。结论:白内障超声乳化吸除联合人工晶状体植入术可以作为原发性闭角型青光眼临床前期一种有效治疗手段。

Effects of the treatment of cataract phaco-emulsification combined with intraocular lens implantation for primary angle closure glaucoma

AIM: To evaluate the effectiveness of the treatment of cataract phacoemulsification combined with intraocular lens implantation for preclinical primary angle closure glaucoma.·METHODS: Thirty-eight cases (38 eyes) with preclinical primary angle closure glaucoma and cataract were received the treatment of phacoemulsification combined with intraocular lens implantation since June, 2006 to December, 2007. Depth of anterior chamber, angle of anterior chamber, dark room and prone provocative tests, intraocular pressures and visual acuity were observed and compared before and after operation.·RESULTS: The depth of anterior chamber was <1/4CT before operation and widened after operation in all eyes. The anterior chamber angle was widened on goniscope in static state and dark room and prone provocative tests were negative postoperatively in all eyes. There was no significant difference of intraocular pressures before and after operative. All cases acquired increased visual acuity.·CONCLUSION: Cataract phacoemulsification combined with intraocular lens implantation appears to be an effective method for preclinical primary angle closure glaucoma.