白内障超声乳化吸除联合房角粘连分离术治疗慢性闭角型青光眼合并白内障的临床疗效被引量：32

Clinical application of phacoemulsification with chamber angle adhesion separation sugery in chronic closure glaucoma with cataract

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摘要目的观察白内障超声乳化吸除人工晶状体植入联合房角粘连分离术治疗慢性闭角型青光眼合并白内障的临床疗效及术后房角形态的改变。方法白内障超声乳化吸除人工晶状体植入联合房角粘连分离术治疗慢性闭角型青光眼61例(73只眼),对其手术前后的视力、眼压、视野、中央前房深度、房角形态进行对照,术后随访6～11个月。结果 61例(73只眼)中有69只眼视力较术前明显提高(P<0.05)。73只眼术后中央前房深度均加深,术前前房深度(1.572±0.314)mm,术后前房深度(3.186±0.217)mm(P<0.05)。66只眼术后眼压明显降低,术前眼压(22.42±3.53)mm Hg,术后眼压(13.52±3.24)mm Hg(P<0.05)。房角镜术后2个月检查有71只眼房角开放,术后6个月房角镜未发现房角再次粘连,64只眼术后6个月复查视野无缩小。结论超声乳化白内障吸除人工晶状体植入联合房角粘连分离术可有效降低眼压、提高视力,是闭角型青光眼同时合并白内障患者安全有效的治疗途径。 Objective To observe the treatment effects and anterior chamber angle morphology changes in phacoemulsification and intraocular lens implantation with anterior chamber angle Adhesion separation in chronic closure angle glaucoma.Methods Phacoemulsification combined chamber angle Adhesion separation,61 patients（73 eyes）,their visual acuity before and after surgery,intraocular pressure,visual field,central anterior chamber depth,chamber angle morphology,All patients were followed up 6 to 11 months.Results 61 patients（73 eyes） in 69 visual acuity significantly improved（P〈0.05）.73 eyes were deepened after the central anterior chamber depth,anterior chamber depth（1.572 ± 0.314） mm,anterior chamber depth（3.186 ± 0.217） mm（P〈0.05）.66 eyes were significantly lower intraocular pressure,preoperative IOP（22.42 ± 3.53） mm Hg,postoperative IOP（13.52 ± 3.24） mm Hg（P〈0.05）.gonioscopy examination 2 months after opening a 71 angle,6 months after gonioscopy angle again found no adhesions,64 patients in June reviewed no narrow view.Conclusion The phacoemulsification intraocular lens implantation angle than adhesion dissection can reduce intraocular pressure,improve eyesight,is angle-closure glaucoma and cataract patients at the same time safe and effective therapeutic approach.

作者方腾李秋明舒华娥刘芳吴方明

机构地区河南省焦作市第二人民医院眼科郑州大学第一附属医院眼科

出处《临床眼科杂志》 2010年第5期413-415,共3页 Journal of Clinical Ophthalmology

关键词超声乳化闭角青光眼房角粘连分离 Phacoemulsification Glaucoma Closure angle Chamber angle adhesion Separation

分类号 R779.66 [医药卫生—眼科]

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1Ferrari E,Bandello F,Roman-Pognuz D,et al.Combined clear corneal phacoemulsification and ab interno trabeculectomy:three-year case series.J Cataract Refract Surg,2005,31:178-138.
2Cisiecki S,Nawrocki J.Vector analysis of surgically induced astigmatism after combined operation of phacoemulsification,intraocular lens implantation and pars plana vitrectomy.Klin Oczna,2005,107:23-27.
3Martínez-de-la-Casa JM,García-Feijoó J,Castillo A,et al.Malignant glaucoma following combined Ahmed valve implant and phacoemulsification surgery for chronic angle-closure glaucoma.Arch Soc Esp Oftalmol,2005,80:667-670.
4Mérula RV,Cronemberger S,Diniz Filho A.New comparative ultrasound biomicroscopic findings between fellow eyes of acute angle closure and glaucomatous eyes with narrow angle.Arq Bras Oftalmol,2008,71:793-798.
5Yao BQ,Wu LL,Zhang C,Wang X.Ultrasound biomicroscopic features associated with angle closure in fellow eyes of acute primary angle closure after laser iridotomy.Ophthalmology,2009,116:444-448.
6Varma D,Baylis O,Wride N.et al.Viscogonioplasty:an effective procedure for lowering intraocular pressure in primary angle closure glaucoma.Eye (Lond),2007,21:472-475.
7Stark WJ,Goyal RK,Awad O,et al.The safety and efficacy of combined phacoemulsification and trabeculectomy with releasable sutures.Br J Ophthalmol,2006,90:146-149.
8Tham CC,Leung DY,Kwong YY,et al.Effects of phacoemulsification versus combined phaco-trabeculectomy on drainage angle status in primary angle closure glaucoma (PACG).J Glaucoma,2010,19:119-123.
9Pereira FA,Cronemberger S.Ultrasound biomicroscopic study of anterior segment changes after phacoemulsification and foldable intraocular lens implantation.Ophthalmology,2003,110:1799-1806.