摘要
目的评价透明角膜切口晶状体超声乳化吸出人工晶状体植入联合前房角分离术治疗原发性急性前房角关闭合并白内障的疗效。方法回顾分析2004年1月至2006年6月收住我院的原发性急性前房角关闭合并白内障28例(28眼)。均行透明角膜切口晶状体超声乳化吸出联合前房角分离术。术后随访6月至2年,平均8.7月。结果术前用药后平均眼压为(24.25±3.09)mmHg,术后随访平均眼压降至(15.48±1.75)mmHg,差异有统计学意义(t=3.175,P=0.04)。中央前房深度由术前的(1.74±0.43)mm增加到术后的(3.19±0.04)mm,差异有统计学意义(t=-17.19,P=0.000)。术后前房角均增宽,术前前房角关闭的部位基本开放,遗留的前房角关闭均≤90°。所有术眼术后最佳矫正视力均较术前提高。结论超声乳化吸出人工晶状体植入联合前房角分离术对晶状体因素所致的原发性急性前房角关闭是可供选择的治疗方法之一,既可控制眼压又可提高视力。
Objective To study the clinical results of phaco- emulsification and intraocular lens implantation combined goniosyn- echialysis for primary acute angle closure with cataract. Methods 28 eyes from 28 patients who suffered from primary acute angle closure with cataract had undergone phacoemulsification with foldable posterior chamber lens implantation combined goniosynechialysis through 3.2mm clear corneal incision and were retrospectively studied from Jan. 2004 to Jun. 2006. The patients were followed up at least 6 months, meanly 8.7 months. Results The IOP significantly decreased from a preoperative mean of （24.25 ± 3.09 ） mmHg under medication therapy to a postoperative mean of （ 15.48 ± 1.75） mmHg （t=3. 175, P =0.04）. The mean central anterior chamber depth was increased from （ 1.74± 0.43 ） mm preoperatively to （ 3. 19 ±0.04 ） mm postoperatively （ t = - 17. 19, P = 0. 000）. The angle of anterior chamber in all operated eyes have become wider and the parts of angle closure have opened in different degree. The leaving size of angle closure were ≤ 90° degree in all cases. The best corrected visual acuity was significantly improved in all cases. Conclusion Phacoemulsification and intraocular lens implantation combined with goniosynechialysis can be a good alternative way in treating primary acute angle closure with cataract. It could result in controlling of the IOP together with improvement of the visual acuity.
出处
《眼外伤职业眼病杂志》
北大核心
2008年第10期771-774,共4页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
基金
台州市科技局资助项目(043250)
