| 马 凯,王 玮,崔冰洁,等.超声乳化联合房角分离术治疗急性闭角型青光眼的研究[J].安徽医药,2015,19(9):1742-1744. |
| 超声乳化联合房角分离术治疗急性闭角型青光眼的研究 |
| Treatment for patients with acute angle closure glaucoma with the combined surgeries of phacoemulsification,intraocular lens implantation and goniosynechialysis |
| 投稿时间：2014-11-03 |
| DOI： |
| 中文关键词: 超声乳化白内障吸除术 房角分离术 小梁切除术 急性闭角型青光眼 白内障 |
| 英文关键词: phacoemulsification goniosynechialysis trabeculectomy acute angle closure glaucoma cataract |
| 基金项目: |
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| 中文摘要: |
| 目的 研究超乳联合房角分离术治疗急性原发性闭角型青光眼(APACG)的安全性、有效性。方法 前瞻性研究方法:选择符合条件的急性闭角型青光眼患者43 例(61 眼)； 随机分为超乳组(A组)和小梁组(B组),分别行晶状体超声乳化联合人工晶体植入并房角分离术和小梁切除术,对手术前、后的视力、眼压、房角变化以及并发症情况进行了6 个月至1 年随访观察。结果 术前A组和B组患者的平均视力差异不显著,术后A组和B组的平均最佳矫正视力均较术前明显改善,且A组较B组改善更明显,差异有统计学意义(P＜0.05)。术前A组和B组患者的眼压差异不显著,术后6个月复查,B组的眼压下降更具有差异性,但A组和B组的眼压均较术前明显降低(P＜0.001)。房角的检查A、B两组具有明显的差异,术后1 个月的房角检查提示A组38 例患眼有36 例全部开放,仅有2 例患眼存在180°以下的房角关闭；B组术后房角开放与关闭情况与术前差异无显著性。结论 超乳联合房角分离术治疗急性闭角型青光眼可以提高患者的视力,降低眼压,开放房角,且手术安全性高,并发症少,是治疗急性闭角型青光眼的一种安全、有效的方法。 |
| 英文摘要: |
| Objective To observe and assess the efficacy of treatment for patients with acute angle closure glaucoma with the combined surgeries of phacoemulsification,intraocular lens implantation and goniosynechialysis(Phaco+IOL+GSL).Methods〖A prospective study was designed to test 61 eyes from 43 acute angle closure glaucoma patients who were randomized into Phaco group(group A) and Trab group(group B).The observed signs included visual acuity,intraocular pressure(IOP),anterior chamber angle and complications.The results showed that post operation follow up was 6-12 months.ResultsThe mean preoperative visual acuity of group A and group B of patients did not show significant difference.In group A and group B the postoperative average best corrected visual acuity was significantly improved compared with preoperative,and improved more obviously in group A than in group B with statistical significance (P<0.05).Preoperative group A and group B patients had no significant difference in IOP,but when rechecked 6 months later,IOP drop was more obviously in group B,and the IOPs in both group A and group B were significantly lower than preoperative (P<0.001).As for the inspection of anterior chamber angle the two groups had obvious differences,1-month postoperative exam revealed that of 38 cases in group A 36 cases were all open,only 2 cases close below 180°;there was no significant difference in group B after surgery,compared with preoperation.ConclusionsPhaco+IOL+GSL can improve the patients’ visual acuity,reduce IOP effectively,make the anterior chamber angle open and result in less complications,which is a safe and effective approach for treating APACG. |
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