资源描述：
《超声乳化联合前房角分离术治疗闭角型青光眼》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、中华眼外伤职业眼病杂志2015年7月第37卷第7期ChinJOculTraumOccupatEyeDis,Jul2015,Vol.37,No.7·523··临床报道·超声乳化联合前房角分离术治疗闭角型青光眼朱伟王涛沈祯【摘要】目的观察晶状体超声乳化联合360°前房角分离术治疗合并白内障的原发性闭角型青光眼的临床疗效及安全性。方法回顾伴有老年性白内障的原发性闭角型青光眼46例(58眼),行透明角膜切口超声乳化人工晶状体植入联合360°前房角分离术,观察术后眼压控制情况、用药情况、最佳矫正视力、中央前房深度和前房角等。随访时间6个月。结果术
2、后6个月眼压均较术前下降,术后用降眼压药物平均(0.13±0.44)种,较术前的(1.31±0.76)种减少。36眼(62.1%)术后3个月最佳矫正视力提高,36眼(62.1%)最佳矫正视力>0.5。手术前后前房深度比较差异有统计学意义(t=-8.754,P=0.00)。术后周边前房角粘连较术前减少9眼,粘连范围无明显变化者10眼。结论联合手术在降低眼压的同时还能加深前房,开放前房角且提高视力,而且可以减少并发症的发生。【关键词】青光眼,闭角型,原发性;白内障;晶状体超声乳化;前房角分离术;Phacoemulsificationcomb
3、inedwithgoniosynechialysisforprimaryangleclosureglaucomaZhu∗∗Wei,WangTao,ShenZhen.DepartmentofOpthalmology,BeijingDaxingDistrictHospitalBeijing102600,ChinaCorrespondingauthor:WangTao,Email:stevenwa@126.com【Abstract】ObjectiveToobservetheclinicaltherapeuticeffectsandsafety
4、ofphacoemulsificationcombinedwithgoniosynechialysisforprimaryangleclosureglaucomawithcataract.MethodsAretrospectivestudywasperformedon58eyesof46caseswhosufferedfromprimaryangle-closureglaucomawithcataract.Allpatientsweretreatedwithphacoemulsificationcombinedwithgoniosyne
5、chialysis.Intraocularpressure(IOP),medicationsusage,thebestcorrectedvisualacuity(BCVA),centralanteriorchamber(CAC)depth,anteriorchamberangleandpostoperativecomplicationswererecordedforallpatients.Theperiodoffollow-upwas6months.ResultsSixmonthsaftersurgery,postoperativeIO
6、Pwerelessthanthepreoperativeones.Postoperatively,theaveragenumberofmedicineforadjuranttherapywas(0.15±0.44),whichwaslessthanthepreoperativeone(0.31±0.76).BCVAof36eyes(62.1%)weremorethan0.5afteroperationwhichwasbetterthanthatbeforeoperation.PreoperativeandpostoperativeCAC
7、depthwere(1.81±0.32)mmand(3.45±0.56)mmrespectively.Thedifferencehadstatisticalsignificance.Peripheralanteriorsynechiae(PAS)in9eyeswerecuredafteroperationandstayedunchangedin10eyes.ConclusionCombinedsurgerycannotonlycontrolIOPandimproveBCVA,butalsodeepenanteriorchamberand
8、openanteriorchamberangle,whichisaneffectiveandsafemethodforpatientssufferingfromprimaryangle-closuregla
