年龄相关性白内障合并青光眼超声乳化吸除联合房角分离术后的临床分析.pdf

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1、河南大学学报(医学版)2015年6月第34卷第2期133年龄相关性白内障合并青光眼超声乳化吸除联合房角分离术后的临床分析张春芳(北京房山区良乡医院眼科，北京102401)摘要：目的观察分析超声乳化白内障吸除联合房角分离术在降低眼内压和改变眼前节结构中的作用。方法对5O例(77眼)青光眼合并白内障患者施行白内障超声乳化吸除联合房角分离术，ASOCT观察手术前后的房角及前房变化，对视力、眼压及视野进行追踪，术后随访3mon。结果全部患者术后视力均有提高，术前平均眼压(26．7±】1．O)mmHg，术后3mon眼压(15．2±5．3)mmHg，P—O

2、．000，均无视野缩小；距巩膜突500、750um处，前房角开放距离及小梁网与虹膜间面积均较术前增大，差异有统计学意义(P

3、AnalysisofPhacoemulsificationCombinedwithG0ni0sychialysisf0rGlaucomawithcataractZHANGChunfang(／3eijingFangshanLiangxiangHospital，Beijing102401，China)Abstract：ObjectiveToobserveandanalyzethesuctioncombinedwithgoniosynechia1ysisinloweringintraocularpressureandchangethestructur

4、eoftheanteriorsegmentoftheeyeeffectofphacoemulsificationforcataract．MethodsAprospectivecaseseries．In50cases(77eyes)ofglaucomawithcataractunderwentphacoemulsificationcombinedwithgoniosynechialysis，ASOCTwereobservedbeforeandaftertheoperationoftherealangleandanteriorchamberchan

5、gesofvisualacuity，intraocularpressureandvisualfield，track，patientswerefollowedupfor3months．ResultsAllpatientspostoperativevisualacuitywasimproved，theaveragepreoperativeintraocularpressure(26．7+11)mmHg，3monthsafteroperation(15．2+5．3)mmHg(P一0．000)，therewere1"10narrowingofthefi

6、eldofvision，fromtheseleralspur500UrN，750UIn，anteriorchamberangleopeningdistanceandtrabecularmeshworkandirisareathanbeforetheoperationincreased，thedifferencewasstatisticallysignificant<0．05)eentralanteriorchamberdepthwereincreased，thedifferencewasstatisticallysignificant(P<0．

7、05)．ConclusionPhacoemulsificationcombinedwithgoni。synechialysiscanreduceage—relatedcataractaccompaniedwithprimaryglaucomaintraocularpressureissafeandeffective，andmaketheanglewidened，anteriorchamberdepthincreases，butthespecificindicationsandreduceintraocularpressurebenefitrem

8、ainstObeinvestigated．Keywords：lens／surgery；phaeoemulsification；goniosynechi