临床眼科杂志2012，Vol.20Issue(4)：322-324,3.DOI:10.3969/j.issn.1006-8422.2012.04.012
超声乳化联合房角分离术治疗闭角型青光眼术后合并白内障
Clinical study of phacoemulsification with goniosynechialysis for the treatment of primary angle-closure glaucoma after trabeculectomy with complicated cataract
张俊峰 1李林 2李俊1
作者信息
- 1. 519000,珠海,暨南大学医学院第三附属医院,珠海市人民医院眼科
- 2. 广州市番禺区中心医院眼科
- 折叠
摘要
Abstract
Objective To investgate the clinical effect of phacoemulsification combined with go niosynechialysis on primary angle-closure glaucoma after trabeculectomy with complicated cataract . Methods It was a prospective randomized clinical trial. There were 35 cases (38 eyes) , diagnosed primary angle-closure glaucoma (PACG) with cataract in our hospital. All patients were undergone phacoemulsification and intraocular lens (IOL) implantation , combined with goniosynechi -alysis. The best corrected visual acuity (BCVA) before and after operation ,intraocular pressure (IOP) ,the central anterior chamber ( CAC) depth and the change of anterior chamber angle were all observed and reported . The time of following-up was 6 to 12 months. Results All patients BCVA were improved after operation . Preoperative mean IOP is (16. 91 ± 3. 44) mm Hg, while the postoperative IOP were (11. 82 ± 2. 52) mm Hg, The IOP were obviously decreased after operation ( P < 0. 05). Preoperative mean CAC depth is (2. 10 ±0. 19) mm, while the postoperative CAC depth were (3. 31 ±0. 28) mm, The CAC depth were obviously decreased after operation ( P <0. 05 ). There were 29 eyes whose preoperative CAC depth were less then 1/2CT. There were 28 eyes whose postoperative CAC depth were more than 1CT. The angle-closure can be partly opened. Iris adhesion around the significant reduction . 2 cases anterior chamber bleeding , 3 cases cellulose sexual exudate in the anterior chamber. Posterior capsular rupture occurred in 1 eye, no malignant glaucoma , corneal decompen -sated complication. Conclusion The threatment of primary angle-closure glaucoma after trabeculectomy with cataract by phacoemulsification combined with goniosynechialysis can be reduce intraocular pressure , improve visual acuity.关键词
超声乳化白内障吸除术/房角分离术/原发性闭角型青光眼/白内障Key words
Phacoemulsification /Goniosynechialysis / Primary angle-closure glaucoma /Cataract
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张俊峰,李林,李俊..超声乳化联合房角分离术治疗闭角型青光眼术后合并白内障[J].临床眼科杂志,2012,20(4):322-324,3.
