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 探讨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,为闭角型青光眼合并白内障的临床治疗提供理论依据。 方法 将2016年1月—2018年12月在海南医学院第二附属医院眼科接受白内障超声乳化联合人工晶状体植入术的50例(68只眼)闭角型青光眼合并白内障患者纳入研究,观察患者术后并发症发生情况,比较患者术前与术后1个月的眼压、最佳视力、500μm房角开放距离、前房深度的变化情况。 结果 术前最佳视力<0.1有12只眼,0.1≤视力<0.3有21只眼,0.3≤视力<0.5有25只眼,≥0.5有10只眼;术后最佳视力<0.1有2只眼,0.1≤视力<0.3有10只眼,0.3≤视力<0.5有20只眼,≥0.5有36只眼。手术后1个月患者最佳视力较手术前有明显提升,差异有统计学意义(Z=5.026,P<0.001)。术后患者的眼压明显低于术前,差异有统计学意义(P<0.05);术后患者的500μm房角开放距离及前房深度较术前显著增加,差异有统计学意义(均P<0.05)。术后并发症发生率为10.29%(7/68)。 结论 白内障超声乳化联合人工晶状体植入术可以降低眼压,加深前房,增加房角开放距离,改善视力,减少用药。 

Observation of phacoemulsification combined with intraocular lens implantation in the treatment of angle-closure glaucoma complicated with cataract

Objective To explore the clinical effect of phacoemulsification combined with intraocular lens implantation in the treatment of angle closure glaucoma combined with cataract, and to provide theoretical basis for the clinical treatment of angle closure glaucoma combined with cataract. Methods From January 2016 to December 2018, 50 patients(68 eyes) with angle closure glaucoma and cataract who underwent phacoemulsification and intraocular lens implantation in the Second Affiliated Hospital of Hainan Medical College were included in the study to observe the postoperative complications and compare the intraocular pressure, the best vision, the opening distance of 500 m angle and the depth of anterior chamber before and after surgery changes. Results The best preoperative visual acuity was<0.1 in 12 eyes, 0.1≤vision<0.3 in 21 eyes, 0.3≤vision<0.5 in 25 eyes and ≥ 0.5 in 10 eyes. The best postoperative visual acuity was<0.1 in 2 eyes, 0.1≤vision<0.3 in 10 eyes, 0.3≤vision<0.5 in 20 eyes and ≥ 0.5 in 36 eyes. One month after operation, the best visual acuity of the patients was significantly higher than that before operation, the difference was statistically significant(Z=5.024, P<0.001), and the intraocular pressure of the patients before operation was significantly higher than that after operation. There was significant difference between the two groups(P<0.05), and the opening distance of 500 μm chamber angle and the depth of anterior chamber were significantly higher than those before operation(all P<0.05). The probability of postoperative complications was about 10.29%(7/68). Conclusion Phacoemulsification combined with intraocular lens implantation can reduce the intraocular pressure, deepen the anterior chamber, increase the open distance of the room angle, improve the vision and reduce the use of the medicine.