超声乳化白内障摘除治疗闭角型青光眼的手术探讨

目的探讨超声乳化白内障摘除治疗原发性闭角型青光眼的两种手术方法的临床效果。方法将46例(52眼)原发性闭角型青光眼合并白内障,其中26例(30眼)前房角粘连<1/2分为A组,施行单纯白内障超声乳化吸除术+后房型人工晶体植入术,将20例(22眼)前房角粘连>1/2分为B组,施行白内障超声乳化吸除术+后房型人工晶体植入术+小梁切除术。结果术后随访6～24个月,两组术后视力均有不同程度的提高,前房加深,房角增宽,眼压控制满意。结论白内障超声乳化吸除术治疗闭角型青光眼能获得满意效果,两种手术效果相当。

Investigation on Angle-closure Glaucoma Treatment with Phacoemulsification

Objective To investigate the clinical effects of two operation methods on primary angle-closure glaucoma treatment. Methods Totally 46 cases （52 eyes） with primary angle-closure glaucoma combined with cataract were examined and analyzed. Group A： 26 cases（30eyes） with anterior chamber angle adhesion〈1/2 received cataract phacoemulsification and posterior chamber lens implantation; Group B： 20 cases（22 eyes） with anterior chamber angle adhesion〉1/2 received cataract phacoemulsification and posterior chamber lens implantation plus trabeculectomy. Results After interviewed with a follow up time of 6 months to 24 months postoperatively, all patients got visual acuity improvement with different degrees, and got deeper anterior chamber depth, more widen chamber angle, and better intraocular pressure control. Conclusion Cataract phacoemulsification on angle-closure glaucoma treatment showed satisfactory outcomes, and the two operation methods showed equivalent effects.