原发性闭角型青光眼伴白内障给予同期治疗的术式研究.pdfVIP

CHINESECOMMUNITYDOCTORS 论著·临床论坛 原发性闭角型青光眼伴白内障给予同期治疗的术式研究 卢国强 132012北华大学附属医院眼科(吉林省吉林市) doi:10.3969/j.issn.1007-614x.2017.1.49 摘 要 目的：研究原发性闭角型青光眼伴白内障给予同期治疗的最佳术式。方法：研究组首先给予前房角镜测定房 角关闭范围，若＞180°给予白内障超声乳化吸除人工晶体植入联合房角分离术，若＜180°则给予白内障乳化吸除人 工晶体植入术。对照组给予青光眼白内障联合手术。对比两组治疗前后的眼压、视力、眼房角开放度。对比两组并发 症。结果：研究组治疗后眼压、视力及眼房角开放度数均显著优于对照组(P＜0.05)。研究组并发症发生率为0%，显 著低于对照组的16.98%。结论：与青光眼白内障联合手术相比，白内障超声乳化吸除(或联合房角分离术)治疗原发性 闭角型青光眼伴白内障具有更佳的疗效，且并发症少。 关键词 闭角型青光眼；白内障；超声乳化术；房角分离术；青光眼白内障联合手术 Operationstudyontheconcurrenttreatmentofprimaryangleclosureglaucomawithcataract LuGuojiang DepartmentofOphthalmology,AffiliatedHospitalofBeihuaUniversity132012 Abstract Objective:Tostudytheoptimaloperationoftheconcurrenttreatmentofprimaryangleclosureglaucomawithcataract. Methods:Thestudygroupwasgivengonioscopetodeterminethecornerclosurerange.Patientswithmorethan180degreeswas givencataractultrasonicemulsificationgetteringartificiallensimplantationcombinedwith cornerseparationoperation,and patientswithlessthan180degreeswasgivencataractultrasonicemulsificationgetteringartificiallensimplantation.Thecontrol groupwasgivenglaucomaandcataractcombinedsurgery.Theintraocularpressure,visualacuity,eyecorneropendegreebefore andafterthetreatmentwerecomparedbetweengroups.Thecomplicationsoftwogroupswerecompared.Results:Aftertreatment, theintraocularpressure,visualacuity,eyecorneropendegreeofthestudygroupweresignificantlybetterthanthoseofthecontrol group(P＜0.05).Theincidencerateofcomplicationsinthestudygroupwas0,whichwassignificantlylowerthan16.98%ofthe control group.Conclusion:Combined with glaucoma and cataract combined surgery,the phacoemulsification(or combined with cornerseparationoperation)inthetreatmentofprimaryangleclosureglaucomawithcataracthasabettercurativeeffectandless complication. Keywords Angleclosureglaucoma;Cataract