白内障超声乳化摘除术联合房角粘连分离术治疗慢性闭角型-医学信息.PDFVIP

学信息2019 年1 月第32 卷第2 期 Medical Information Jan. 2019 Vol. 32 No.2 论著 内障超声乳化摘除术联合房角粘连分离术治疗 慢性闭角型青光眼的临床疗效观察 佳佳 王 雁 高云仙 渊新疆医科大学第四附属医院眼科新疆 乌鲁木齐 830011冤 摘要 目的 观察白内障超声乳化摘除术联合人工晶体植入联合房角粘连分离术治疗慢性闭角型青光眼的临床疗效遥 方法 采 取自身对照研究 对按照标准纳入我院的慢性闭角型青光眼患者30 例渊48 眼冤 行白内障超声乳化摘除术联合房角粘连分离 术 术前及术后1 d尧1 周尧1 个月尧3 个月进行最佳矫正视力尧眼压尧前方深度尧视野尧房角开放程度尧神经上皮层厚度等结局指标 检测遥结果 经治疗后 患者术前眼压渊36.542 5.624冤mmHg 术后3 个月渊13.958 1.821冤mmHg 术后眼压均明显降低 达到正常 范围渊 约0.001冤曰患者术前视力渊0.391 0.258冤 术后3 个月视力渊0.730 0.198冤 术后视力均有提高渊 约0.001冤曰手术前患者前房深 度渊2.472 0.490冤mm 术后前房深度渊3.640 0.360冤mm 差异有统计学意义渊 约0.001冤曰手术前视野平均缺损渊-14.494 6.068冤 dB 术后视野平均缺损渊-2.612 2.224冤dB 差异有统计学意义渊 约0.001冤曰术后周边前房角粘连较术前减少47 眼 粘连范围变化 不明显者1 眼遥 结 白内障超声乳化摘除术联合房角粘连分离术 可以有效地控制慢性闭角型青光眼患者眼压 提高视力 进 一步减少视野损害遥 关键词 白内障超声乳化摘除术曰房角粘连分离术曰慢性闭角型青光眼 中图分类号 R779.6 文献标识码 A DOI:10.3969/j .issn.1006-1959.2019.02.025 文章编号 1006-1959渊2019冤02-0087-04 Clinical Observation of Phacoemulsification and Angle Separation in the Treatment of Chronic Angle-closure Glaucoma HE Jia-jia,WANG Yan,GAO Yun-xian (Department of Ophthalmology,the Fourth Affiliated Hospital of Xinj iang Medical University, Urumqi 830011,Xinji ang,China) Abstract ：Obj ective To observe the clinical efficacy of phacoemulsification combined with intraocular lens implantation combined with angle separation in the treatment of chronic angle-closure glaucoma. Methods A self -controlled study was performed to enroll 30 patients (48 eyes) with chronic angle-closure glaucoma in our hospital. The phacoemulsification combined with anterior chamber adhesions was performed before and 1 day, 1 week, and 1 month after surgery. At 3 months, the best corrected visual acuity,