超声乳化白内障吸除联合房角分离治疗急性闭角型青光眼合并白内障的疗效-眼科学专业论文.docxVIP

万方数据 万方数据 目录 英文缩略词表······················································2 中文摘要··························································3 英文摘要··························································4 前 言··························································5 资料与方法························································6 结 果··························································10 讨 论··························································12 结 论··························································17 参考文献··························································18 致 谢··························································22 综 述··························································23 2 英文缩略词表 PACG(primary angle-closure glaucoma) 原发性闭角型青光眼 APACG(acute primary angle-closure glaucoma) 原发性急性闭角型青光眼 IOP (intraocular pressure) 眼压 ACD(anterior chamber depth) 中央前房深度 LCD(limbal chamber depth) 周边前房深度 CT(corneal thickness) 角膜厚度 UBM(ultrasound biological microscope) 超声生物显微镜 IOL(intraocular lens) 人工晶状体 3 超声乳化白内障吸除联合房角分离治疗急性闭角型青光眼合并 白内障的疗效 摘 要 目的：分析超声乳化白内障吸除联合人工晶状体植入和房角分离治疗原发性急性 闭角型青光眼合并白内障的临床效果和安全性。 对象与方法：回顾性分析研究 2008 年 9 月到 2011 年 12 月在我院住院且资料完 整的原发性急性闭角型青光眼合并白内障患者 47 例（54 眼）；其中男性 13 例（15 眼），女性 34 例（39 眼）。年龄 56～83 岁，平均（68.2±6.9）岁。入院后在降 眼压后行超声乳化白内障吸除联合人工晶状体植入和房角分离，分析术前术后视 力、眼压、中央前房深度、周边前房深度、房角开放情况及并发症。随访时间为 1～12 个月，平均（7.23±3.56）个月。 结果：54 眼术后最佳矫正视力较术前明显提高，差异有统计学意义（Z=6.244， P＜0.05）；术前经降眼压治疗后平均眼压为(18.94±5.10)mmHg，术后为(11.81 ±3.22)mmHg，术后眼压明显下降，差异有统计学意义（t=11.896，P＜0.05）； 术前平均中央前房深度为（1.83±0.29）mm，术后为（3.53±0.43）mm，术后中 央前房深度明显加深，差异有统计学意义（t=27.750，P＜0.05）；术后周边前房 深度较术前明显加深，差异有统计学意义（Z=9.703，P＜0.05）；术后房角均较 术前有不同程度的开放，差异有统计学意义（Z=9.187，P＜0.05）。 结论：超声乳化白内障吸除联合人工晶状体植入和房角分离对原发性急性闭角型 青光眼合并白内障患者的视力、眼压、前房深度、房角等方面都产生积极有益的 影响，临床效果好且安全。 关键词：超声乳化白内障吸除术，房角分离术，闭角型青光眼，白内障 4 Effect of phacoemulsification and goniosynechialysis in acute angle-closure glaucoma and co-existing cataract patients Abstract Objective ： To analyse the clinical outcomes and safety of phacoemulsificat