1.8 mm切口超声乳化联合小梁切除术治疗慢性闭角型青光眼的临床效果观察.pdf

中国当代医药 2014年8月第21卷第23期 窑临床研究 窑 1.8mm切口超声乳化联合小梁切除术治疗 慢性闭角型青光眼的临床效果观察 张建珠 黄伯健 江 瑜 广东省普宁市人民医院眼科袁广东普宁 515300 [摘要] 目的观察 1.8mm切口超声乳化联合小梁切除术治疗慢性闭角型青光眼的临床效果遥 方法选择2012年 1月~2013年 12月本院眼科收治的90例慢性闭角型青光眼患者袁将患者按照数字列表法随机分为观察组和对 照组遥 观察组45例患者45眼采用1.8mm切口超声乳化联合小梁切除术治疗袁对照组45例45眼采用常规切口 超声乳化联合小梁切除术治疗袁比较两组患者术前尧术后的视力尧散光度尧眼压和并发症遥 结果两组的术后视力 均较术前明显改善袁差异有统计学意义渊P约0.05冤袁观察组术后 1周尧1个月尧3个月的视力较对照组改善明显袁差异 有统计学意义渊P约0.05冤曰观察组的术后散光程度较对照组低袁恢复快袁差异有统计学意义渊P约0.05冤曰两组患者的术 后眼压渊IOP冤较术前明显降低袁差异有统计学意义渊P约0.05冤曰观察组的术后并发症发生率较对照组低袁差异有统计 学意义渊P约0.05冤遥 结论 1.8mm切口超声乳化联合小梁切除术治疗慢性闭角型青光眼的效果显著袁并发症发生 率低遥 [关键词] 1.8mm切口超声乳化曰小梁切除术曰慢性闭角型青光眼 [中图分类号] R775.9 [文献标识码]A [文章编号] 1674-4721渊2014冤08渊b冤-0067-03 Clinical effect observation of 1.8 mm incision phacoemulsification com鄄 binedwithtrabeculectomyintreatmentofchronicangle-closureglaucoma ZHANG Jian-zhu HUANG Bo-jian JIANG Yu Departmentof Ophthalmology,People忆sHospitalof Puning Cityin GuangdongProvince,Puning 515300,China [Abstract] Objective To observe the clinical effect of 1.8mm incision phacoemulsification combined with trabeculec鄄 tomy in treatment of chronic angle-closure glaucoma. Methods 90 patients with chronic angle-closure glaucoma treat鄄 ed indepartmentof ophthalmologyin ourhospitalfromJanuary 2012to December2013were randomly divided into the observation group and the control group according to digital list method,45 eyes of 45 cases of patients in the observa鄄 tion groupwere treated by 1.8mm incisionphacoemulsification combinedwith trabeculectomywhile 45 eyesof 45 cas鄄 esof patients in the control group were treated by the conventional incision phacoemulsification combined with tra鄄 beculectomy.Visual acuity,astigmatism,intraocular pressure before and after surgery and complica