[1]何佳佳,王 雁,高云仙.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青光眼的临床疗效观察[J].医学信息,2019,32(02):87-90.[doi:10.3969/j.issn.1006-1959.2019.02.025]
　HE Jia-jia,WANG Yan,GAO Yun-xian.Clinical Observation of Phacoemulsification and Angle Separation in the Treatment of Chronic Angle-closure Glaucoma[J].Journal of Medical Information,2019,32(02):87-90.[doi:10.3969/j.issn.1006-1959.2019.02.025]
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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青光眼的临床疗效观察()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年02期
页码:
87-90
栏目:
论著
出版日期:
2019-01-15

文章信息/Info

Title:
Clinical Observation of Phacoemulsification and Angle Separation in the Treatment of Chronic Angle-closure Glaucoma
文章编号:
1006-1959（2019）02-0087-04
作者:
何佳佳; 王 雁; 高云仙
新疆医科大学第四附属医院眼科，新疆 乌鲁木齐 830011
Author(s):
HE Jia-jia; WANG Yan; GAO Yun-xian
Department of Ophthalmology,the Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi 830011,Xinjiang,China
关键词:
白内障超声乳化摘除术; 房角粘连分离术; 慢性闭角型青光眼
Keywords:
Cataract phacoemulsification; Anterior chamber adhesion separation; Chronic angle-closure glaucoma
分类号:
R779.6
DOI:
10.3969/j.issn.1006-1959.2019.02.025
文献标志码:
A
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。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（48眼），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、1周、1个月、3个月进行最佳矫正视力、眼压、前方深度、视野、房角开放程度、神经上皮层厚度等结局指标检测。结果 经治疗后，患者术前眼压（36.542±5.624）mmHg，术后3个月（13.958±1.821）mmHg，术后眼压均明显降低，达到正常范围（P＜0.001
Abstract:
Objective 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, intraocular pressure, anterior depth, visual field, open angle of the angle, and thickness of the neuroepithelial layer were measured. Results After treatment, the preoperative intraocular pressure (36.542±5.624) mmHg, postoperative 3 months (13.958±1.821) mmHg, postoperative intraocular pressure decreased significantly, reaching the normal range (P<0.001); preoperative visual acuity (0.391±0.258),After 3 months of visual acuity (0.730±0.198), postoperative visual acuity improved (P<0.001); preoperative anterior chamber depth (2.472±0.490) mm, postoperative anterior chamber depth (3.640±0.360) mm, the difference was statistical significant (P<0.001); mean visual field defect before operation (-14.494±6.068) dB, mean postoperative visual field defect (-2.612±2.224) dB, the difference was statistically significant (P<0.001);The postoperative anterior chamber angle adhesion was reduced by 47 eyes compared with preoperative, and there was 1 eye with no obvious change in adhesion range. Conclusion Phacoemulsification combined with anterior chamber adhesion separation can effectively control intraocular pressure in patients with chronic angle-closure glaucoma, improve vision and further reduce visual field damage.

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更新日期/Last Update: 2019-02-15