摘要
Abstract
Objective To explore the clinical efficacy of phacoemulsification combined with goniosynechialysis for acute angle-closure glaucoma(ACG) complicated with cataract.Methods 76 patients with ACG complicated with cataract were randomly divided into an observation group and a control group,38 for each group.The control group were treated with cataract phacoemulsification combined intraocular lens implantation and trabeculectomy.The observation group were treated with phacoemulsification combined with goniosychialysis.The IOP,visual acuity,anterior chamber depth,and complications after the operation were compared.Results The IOP 1 week [(16.1 ± 2.7) mmHg vs.(18.6 ± 1.97) mmHg),1 month [(16.7 ± 1.8) mmHg vs.(17.8 ± 1.6) mmHg],3 months [(15.3 ± 1.7) mmHg vs.(17.5 ± 1.6) mmHg],and 6 months [(14.6 ± 1.5) mmHg vs.(17.2 ± 1.7) mmHg] after the operation were significantly lower in the observation group than in the control group,P ＜0.05.The visual acuity 1 week [(0.554 ± 0.250) vs.(0.521 ± 0.18)],1 month[(0.623 ± 0.26) vs.(0.568 ± 0.21)],3 months [(0.628 ± 0.27)vs.(0.624 ± 0.22)] and 6 months [(0.586 ± 0.230) vs.(0.573 ± 0.24)] after the operation were significantly higher in the observation than in the control group,P＜0.05.After the operation,the ACD was significantly lower in the observation group than in the control group[(3.406 ± 0.245) mm vs.(3.062 ± 0.221) mm],P ＜0.001.There was no statistical differences in the incidence of complications after the operation between the two groups.Conclusions Phacoemulsification combined with goniosynechialysis and phacoemulsification combined with intraocular lens implantation and trabeculectomy for ACG complicated with cataract both are safe and effective.Phacoemulsification combined with goniosynechialysis for ACG complicated with cataract can reduce intraocular pressure,improve vision,and increase anterior chamber depth.关键词
白内障超声乳化/房角分离术/急性/闭角型青光眼/白内障Key words
Phacoemulsification/ Goniosynechialysis/ Acute/ Angle-closure glaucoma/ Cataract
