摘要
目的观察超声乳化人工晶状体植入联合房角分离术治疗急性闭角型青光眼的远期疗效。方法对2002年6月至2005年6月收治且随访的急性闭角型青光眼急性发作期合并白内障患者25例(25只眼),眼压控制后施行超声乳化人工晶状体植入联合房角分离术。术后随访2年以上,最长5年。结果术后眼压控制在21 mmHg以下者24只眼(占96%)。所有病例均维持稳定视力。结论超声乳化人工晶状体植入联合房角分离术,可解除因晶状体因素所致的瞳孔阻滞,使粘连、关闭的房角重新开放,可作为急性闭角型青光眼合并白内障的选择性治疗方法,远期疗效稳定、可靠。
Objective To investigate the long-term effect of phacoemulsification with posterior chamber intraocular lens （PC-IOLJ implantation and goniesyneehialysis in the management of acute angle-clesure glaucoma. Methods Phacoemulsification with PC-IOL implantation and goniosyneehialysis performed on 25 cases （25eyes） with acute angle-clesure glaucoma and cataract between June 2002and June 2005. Followed by 2 to 5 years postoperative observation. Results Intraocular pressure of 24 eyes （96% ） is controlled under 21 mmHg. The visual acuity has been improved to different levels in all eases. Conclusion Phacoemulsification with PC-IOL implantation and goniesyneehialysis can remove pupil obstruction caused by lens and open angle of anterior chamber. So it can be a good alternative in the treating of acute angle-closure glaucoma with cataract.
出处
《临床眼科杂志》
2008年第1期16-17,共2页
Journal of Clinical Ophthalmology
关键词
超声乳化
房角分离术
晶状体
青光眼
闭角型
Phacoemulsification
Goniosynechialysis
Lens
Glaucoma, Angle-closure
