超声乳化白内障吸除折迭式人工晶状体植入治疗闭角型青光眼合并白内障的临床观察

《超声乳化白内障吸除折迭式人工晶状体植入治疗闭角型青光眼合并白内障的临床观察》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、超声乳化白内障吸除折叠式人工晶状体植入治疗闭角型青光眼合并白内障的临床观察Clinicalstudyonthemanagementofangle-closureglaucomawithcataractbyphacoemulsificationwithfoldableposteriorchamberintraocularlensimplantation一、目的（OBJECTIVE）初步观察颞侧角巩膜缘隧道切口超声乳化白内障吸除联合后房型折叠式人工晶状体植入术治疗合并白内障的急性或慢性闭角型青光眼的疗效。Toinvestigatetheclinicalresul

2、tsofphacoemulsificationwithfoldableposteriorchamberintraocularlens(PC-IOL)implantationinthemanagementofacuteorchronicangle-closureglaucomawithcataract.二、病例资料（PATIENTSDATA）2001年9月～2003年4月收住本院的33例(52只眼)原发性闭角型青光眼合并白内障患者男18例，女15例年龄42～79岁，平均年龄57.32±8.64岁FromSeptemberof2001toAprilof200333

3、cases(52eyes)withprimaryangle-closureglaucomaandcataractwereprospectivlystudied.18men，15womenAgeswerefrom42to79，averageagewas57.32±8.641、原发性急性闭角型青光眼组（24眼）术前眼压17~54mmHg，平均眼压27.69±10.42mmHg周围前房深度0.28±0.04CK平均远视力0.2±0.1平均用降眼压药1.7种1、Primaryacuteangle-closureglaucoma（24eyes）PreoperativeI

4、OPwas17~54mmHg，meanIOPwas27.69±10.42mmHgMeanlimbicanteriorchamberdepthwas0.28±0.04CKMeanvisualacuitywas0.2±0.1Meandrugswas1.7types2、原发性慢性闭角型青光眼组（28眼）术前眼压11~20mmHg，平均眼压16.39±2.50mmHg周围前房深度0.45±0.08CK平均远视力0.3±0.2平均用降眼压药0.8种2、Primarychronicangle-closureglaucoma（28eyes）PreoperativeIOPwa

5、s11~20mmHg，meanIOPwas16.39±2.50mmHgMeanlimbicanteriorchamberdepthwas0.45±0.08CKMeanvisualacuitywas0.3±0.2MeandrugstocontrolIOPwas0.8types三、方法（METHODS）患者入院后均行角巩膜缘隧道切口超声乳化白内障吸除联合后房型折叠式人工晶状体植入术。AllthepatientswereundergonethePhacoemulsificationwithPC-IOLimplantationthroughtemporalcornea

6、llimbustunnels.四、结果（RESULTS）原发性急性闭角型青光眼组术后平均眼压13.13±2.33mmHg周围前房深度0.66±0.13CKPrimaryacuteangle-closureglaucomapatientsPostoperativemeanIOPwas13.13±2.33mmHgMeanlimbicanteriorchamberdepthwas0.66±0.13CK术后半年平均远视力为0.5±0.24眼术后用一种药物控制眼压可达21mmHg以下，其余不需用药物控制眼压即正常,平均用降眼压药0.17种Meanvisualacuity

7、was0.5±0.2halfayearafteroperationOnly4eyesneedsonedrugeachtocontrolIOPbelow21mmHgandtheotherswerenormalwithoutanydrug,meandrugsusedtocontrolIOPwas0.17types原发性急性闭角型青光眼组术前术后眼压与周围前房深度比较mmHgCK原发性急性闭角型青光眼组术前术后视力与平均用降眼压药物的比较原发性慢性闭角型青光眼组术后平均眼压11.64±1.25mmHg周围前房深度0.85±0.15CKPrimarychronican

8、gle-closureglaucoma