超声乳化白内障吸除术治疗闭角型青光眼的临床研究

目的：：研究超声乳化白内障吸除术在临床闭角型青光眼中的应用价值。方法：研究分析本组60例82眼治疗前与治疗后患者的最佳矫正视力、前房深度、眼压、房角宽度以及不良反应等情况。结果：本组60例82眼与治疗前比较,患者治疗后的最佳矫正视力明显得到提高,两者比较差异有统计学意义(P<0.05)；患者治疗前的前房深度为2.0±0.3mm,治疗后的前房深度为4.4±1.0mm,患者治疗后的前房深度与治疗前比较明显提高,两者比较差异有统计学意义(P<0.05)；患者的眼压在术后较长时间内得到有效的控制,与治疗前的差异有统计学意义(P<0.05)；患者治疗后的房角宽度与治疗前比较明显增加,两者比较差异有统计学意义(P<0.05)；经治疗以后出现5眼角膜轻度水肿,3眼瞳孔散大,1眼虹膜萎缩,无1例患者出现视网膜脱落。结论：超声乳化白内障吸除术治疗闭角型青光眼具有较高的应用价值,可以有效矫正患者的视力,改善患者前房深度与房角宽度,不良反应发生率小。

Clinical study of phacoemulsification in the treatment of angle-closure glaucoma

AIM: To study the application value of phacoemulsification in clinical treatment of angle-closure glaucoma.

METHODS:A total of 60 cases(82 eyes), the best corrected visual acuity, anterior chamber depth, intraocular pressure, width of chamber angle and adverse reaction of patients were researched and analysed before and after treatment.

RESULTS:In this group, 60 cases(82 eyes)compared with that before treatment, the best corrected visual acuity in patients after treatment significantly improved, with significant difference between the two groups(P<0.05); anterior chamber depth of patients before treatment were 2.0±0.3mm, anterior chamber depth after treatment was 4.4±1.0mm, treatment of patients with anterior chamber depth comparison significantly improved after treatment, with statistically significant difference between the two groups(P<0.05); IOP in patients with postoperative effective control over an extended period, the difference before treatment was statistically significant(P<0.05); the width of chamber angle after treatment compared with before treatment significantly increased, with statistically significant difference between the two groups(P<0.05); after treatment by the emergence of 5 corneal edema, 3 mydriasis, an iris atrophy, no one cases of retinal detachment.

CONCLUSION: Phacoemulsificationin the treatment of angle-closure glaucoma has a high value, can be effectively corrected visual acuity, improve patient anterior chamber angle width and depth, a small incidence of adverse reactions.