国际眼科杂志Issue(8)：1435-1437,3.DOI:10.3980/j.issn.1672-5123.2015.8.35
双切口青光眼白内障联合手术治疗闭角型青光眼的疗效
Clinical efficacy of double - incision operation of combining phacoemulsification and trabeculectomy to cure angle-closure glaucoma with cataract
摘要
Abstract
AIM: To prove the clinical efficacy of double-incision operation of combining phacoemulsification and intraocular lens implantation and trabeculectomy with topical anesthesia. <br> METHODS: Fifty-four patients ( 60 eyes ) with primary angle - closure glaucoma patients with cataract were randomly divided to single-incision group and double-incision group. Both were treated by phacoemulsification and intraocular lens implantation and trabeculectomy, followed up for 3mo. Intraoeular pressure ( IOP), best corrected visual acuity (BCVA), inflammation of anterior chamber were observed. <br> RESULTS:1 ) IOP: Postoperative, the average IOP had no statistical significance between two groups (P>0. 05). 2) BCVA:the level of BCVA in double-incision group was 0. 31±0. 27 on 1d after surgery, single-incision group was 0. 19±0. 22, the differences had statistical significance ( P<0. 05). But on 1wk, 1, 3mo, the differences between two groups had no statistical significance ( P > 0. 05 ). 3 ) Inflammation of anterior chamber after surgery: on 1d there were 9 eyes in double-incision group and 18 eyes in single - incision group, the differences had statistical significance (χ2 =5. 45, P<0. 05). By anti-inflammatory treatment the differences between two groups had no statistical significance ( P > 0. 05 ) on 1wk, 1, 3mo postoperative. <br> CONCLUSION:Double-incision operation of combining phacoemulsification and intraocular lens implantation and trabeculectomy is an effective and safe therapeutic method for patients with primary closed-angle glaucoma and cataract.关键词
青光眼/白内障/单切口/双切口Key words
glaucoma/cataract/single - incision/double-incision引用本文复制引用
吕孝平,杜诚,余其智..双切口青光眼白内障联合手术治疗闭角型青光眼的疗效[J].国际眼科杂志,2015,(8):1435-1437,3.基金项目
嘉兴市科技计划项目(No.2013AY21053-1)@@@@Jiaxing Science and Technology Project ( No.2013AY21053-1) （No.2013AY21053-1）
