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白内障超声乳化联合房角分离术治疗不同范围房角关闭的原发性闭角型青光眼

何静 谢平 欧阳君

国际眼科杂志Issue(7):1251-1252,2.
国际眼科杂志Issue(7):1251-1252,2.DOI:10.3980/j.issn.1672-5123.2015.7.38

白内障超声乳化联合房角分离术治疗不同范围房角关闭的原发性闭角型青光眼

Clinical study of phacoemulsification and goniosynechialysis for primary angle -closure glaucoma

何静 1谢平 1欧阳君1

作者信息

  • 1. 332000 中国江西省九江市第一人民医院眼科
  • 折叠

摘要

Abstract

AlM:To discuss the clinical effect and safety of the combined surgeries of phacoemulsification and goniosynechialysis for patients with primary angle -closure glaucoma ( PACG) .METHODS:Eighty-three eyes of 83 patients with PACG and cataract were ranomized into two groups. Group A:39 patients with 39 eyes of angle-closure <180.;Group B:44 patients with 44 eyes angle - closure ≥180.. The changes of visual acuity, anterior chamber depth ( ACD) , anterior chamber angle and lOP after operation were measured. The follow-up period was for 1a.RESULTS: The visual acuity was improved significantly in both group after operation. No significantly difference in ACD, anterior chamber angle after operation in two groups (P>0. 05). The lOP in group A was lower than that in group B 3mo after operation, there was statistical significance (P<0. 05).CONCLUSlON:Phacoemulsification and goniosynechialysis can deepen ACD significantly. This method make the anterior chamber angle open, can reduce lOP and improve the patients’ visual acuity, especially in patients with PACG. lt is a safe and effective approach to patients with PACG and cataract.

关键词

原发性闭角型青光眼/白内障/房角分离

Key words

primary angle - closure glaucoma/cataract/goniosynechialysis

引用本文复制引用

何静,谢平,欧阳君..白内障超声乳化联合房角分离术治疗不同范围房角关闭的原发性闭角型青光眼[J].国际眼科杂志,2015,(7):1251-1252,2.

国际眼科杂志

OACSTPCD

1672-5123

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