超声乳化联合房角分离术治疗白内障伴青光眼的疗效

目的:探讨超声乳化联合房角分离术治疗白内障伴青光眼的临床疗效.方法:以2014-04/2015-10我院收治的73例80眼闭角型青光眼伴白内障患者为研究对象,所有患眼均行晶状体超声乳化联合前房角分离术治疗.比较治疗前后的视力、眼压、前房深度、前房角分级和并发症,分析该术式的临床效果.结果:视力:术后1wk,1、2、6mo,1a平均视力均较术前提高,差异有统计学意义(P<0.05).眼压:术后1wk,1、2、6mo,1a平均眼压均较术前降低,差异有统计学意义(P<0.05).前房深度:术后1wk,1、2、6mo,1a前房深度平均值均较术前升高,差异有统计学意义(P<0.05).前房角分级:术后1wk,1、2、6mo,1a分级均较术前改善,差异有统计学意义(P<0.05).术后无严重并发症.结论:超声乳化联合房角分离术治疗白内障伴青光眼安全有效,可增加前房深度,改善前房角开放程度,并能提高视力和降低眼压.

Phacoemulsification combined with goniosynechialysis for patients with cataract and glaucoma

AIM:To investigate the clinical effect of phacoemulsification combined with goniosynechialysis for patients with cataract and glaucoma.

METHODS: Totally 73 cases(80 eyes)with angle closure glaucoma and cataract were selected from April 2014 to October 2015. All patients were treated with phacoemulsification combined with goniosynechialysis. The visual acuity, intraocular pressure, anterior chamber depth, anterior chamber angle and complications were compared before and after treatment.

RESULTS: Vision: compared with preoperative data, the data at 1wk, 1, 2, 6mo, 1a of postoperative were improved significantly(P<0.05). Intraocular pressure: compared with preoperative data, the data at 1wk, 1, 2, 6mo, 1a of postoperative decreased significantly(P<0.05). After the surgery, the anterior chamber depth were evidently higher than those before the surgery(P<0.05). The angle grading after the surgery were improved remarkably compared with the preoperative ones(P<0.05). There were no serious complications.

CONCLUSION: Phacoemulsification combined with goniosynechialysis is safe and effective for patients with cataract and glaucoma. The surgery increase the depth of the anterior chamber significantly, improve the openness of angle, improve the vision and reduce the intraocular pressure.