两种手术方式治疗闭角型青光眼合并白内障疗效分析

目的探讨闭角型青光眼合并白内障两种手术方式的疗效比较。方法将原发性闭角型青光眼合并白内障（房角关闭〈180度）患者76例随机数字表法分成两组：A组39例，行超声乳化白内障摘除术；B组37例，行小切口非超声乳化（无缝线手法娩核）白内障摘除术，监测术前和术后1周、1月、3月、6月的眼压，术后1周、1月、3月矫正视力，并比较两组患者的术中、术后并发症。结果A、B两组眼压较术前下降，两组差异无统计学意义；术后1月，非超声乳化白内障摘除术后1W视力≥0．3者30眼，占总数的76．92％，超声乳化白内障摘除术后1W视力≥0．3者33眼，占总数的89．2％，两组经方差分析差异有统计学意义（P〈0．05）；小切口非超声乳化组明显虹膜损伤6例，占总数的15．38％，而超声乳化组虹膜损伤2例，占总数的5．41％，经方差分析两组差异统计学有意义（P〈0．05）。结论原发性闭角型青光眼合并白内障患者选用小切口非超声乳化（无缝线手法娩核）或超声乳化白内障摘除术均可控制眼压，但术后1个月后超声乳化组t：LtJ,切口非超声乳化组视力好、虹膜损伤少。

Comparative analysis on curative effects of two kinds of surgical treatment methods for angle-closure glaucomacombined with cataract surgery

Objective To compare the curative effects of two surgical treatment methods for angle-closure glaucoma and cataract patients. Methods 76 patients with primary angle-closure glaucoma （〈180 degrees angle closure） and cataract were randomly divided into two groups A and B, with 37 cases in each group, they underwent phacoemulsification and small incision non-phacoemulsification cataract surgery respectively. We observed the intra~ular pressure of preoperative and postoperative 1 week, 1 month, 3 months and 6 months, the corrected visual acuity of postoperative 1 week, 1 month, 3 months and 6 months were also observed, and the intraoperative and postoperative complications were compared. Results lntraocular pressure was reduced Compared with that before surgery in two groups, the difference was not statistically significant. After 1 month, non-phacoemulsification cataract extraction visual acuity I〉 0.3 by 30 eyes（76.9%）, phacoemulsification cataractvisual acuity 〉1 0.3 by 33 eyes（89.2%）, it was statistically significant （P〈0.05）; 6 cases （15.38%） were significantly iris damage in gToup B, there were 2 cases （5.41%） in group A, it was statistically significant （P〈0.05）. Conclusion Small incision non- phacoemulsification cataract surgery and phacoemulsification both can control the intraocular pressure of primary angle- closure glaucoma, but the visual acuity is better with less iris damage in phacoemulsification group.