超声乳化手术治疗慢性闭角型青光眼合并白内障的临床疗效分析.docVIP

超声乳化手术治疗慢性闭角型青光眼合并白内障的临床疗效分析基金项目：2010年陕西省卫生厅科研基金项目（2010B09）； 作者简介：吕涛（1971-），男，副主任医师，研究方向：白内障及眼眶疾病。（收稿日期：2013- 接受日期：2013-） 基金项目：2010年陕西省卫生厅科研基金项目（2010B09）； 作者简介：吕涛（1971-），男，副主任医师，研究方向：白内障及眼眶疾病。 （收稿日期：2013- 接受日期：2013-） 吕 涛 王 莉 吴双有 吴 刚 管小丹 安康市中心医院眼科, 陕西 安康 725000 摘要 目的：探讨超声乳化手术治疗慢性闭角型青光眼合并白内障的临床效果。方法：慢性闭角型青光眼合并白内障64例(64眼)根据治疗方法的不同分为治疗组与对照组各32例，对照组采用传统小梁切除手术，治疗组采用超声乳化手术。结果：(1)两组术前视力对比无明显差异，治疗后视力情况都明显改善，同时组间对比有明显差异(P0.05)。(2)两组术前眼压比较无显著性差异，术后两组组间与组内对比都有明显差异(P0.05)。(3)两组术前前房深度比较无显著性差异，治疗后都有明显上升(P0.05)，同时组间对比差异明显(P0.05)。(4)两组患者术中与术后都无严重并发症发生。结论：对于慢性闭角型青光眼合并白内障患者行超声乳化手术具备加深前房、控制眼压、提高视力的作用，同时安全性好，可作为标准治疗选择。 关键词：超声乳化手术；慢性闭角型青光眼；白内障；小梁切除术；眼压 中图分类号：R775 文献标识码：A 文章编号：1673-6273 The Clinical Analysis of Phacoemulsification Surgery for Chronic Angle-Closure Glaucoma with CataractLV Tao, WANG Li, WU Shuang-you, WU Gang, GUAN Xiao-dan (Department of Ophthalmology, Ankang Central Hospital, Ankang Shaanxi 725000) ABSTRACT Objective: To investigate the clinical effects of phacoemulsification surgery for chronic angle-closure glaucoma with cataract. Methods: 64 cases (64 eyes) with chronic angle-closure glaucoma with cataract accorded to the treatment methods were equally divided into treatment group and control group , the control group were used conventional trabeculectomy, the treatment group were used phacoemulsification. Results: The preoperative visual acuity compared had no significant difference and were significantly improved after treatment, while had significant differences between the groups compared (P 0.05), so that were to the IOP and anterior chamber depth (P 0.05). Two groups of patients had no intraoperative and postoperative complications. Conclusion: Phacoemulsification surgery for chronic angle-closure glaucoma with cataract has the values of deeping the anterior chamber, controlling intraocular pressure and improving the vision, while the security is good, it can be used as standard treatment options.Keywords: Phacoemulsification; chronic angle-clos