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超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障的临床研究

汤代文 荣瑜

临床眼科杂志2017,Vol.25Issue(4):339-341,3.
临床眼科杂志2017,Vol.25Issue(4):339-341,3.DOI:10.3969/j.issn.1006-8422.2017.04.018

超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障的临床研究

Phacoemulsification and intraocular lens implantation combined with trabeculectomy in the treatment of primary angle-closure glaucoma and cataract

汤代文 1荣瑜1

作者信息

  • 1. 246003 安徽省安庆市第一人民医院眼科
  • 折叠

摘要

Abstract

Objective To observe the effects of phacoemulsification and intraocular lens (IOL) implantation combined with trabeculectomy in the treatment of primary angle-closure glaucoma and cataract.Methods 40 patients who were diagnosed with angle-closure glaucoma and cataract (40 eyes) were randomly divided into control and treatment group, each having 20 cases (20 eyes).Control group was given trabeculectomy only and treatment group was given phacoemulsification and IOL implantation along with trabeculectomy.Intraocular pressure (IOP), visual function, and complications were compared in the 6-month follow-up period.Results In control group, IOP was controlled in normal range in 17 cases (17 eyes) after the surgery, and the success rate was 70.00%.In treatment group, 19 cases (19 eyes) showed normal range IOP and the success rate was 95.00%.This difference was statistically significant (P<0.05).Visual acuity was greater than 0.5 in 12 cases (60%) in the treatment group and in 5 cases (25%) in control group.The difference was also significant (P<0.05).Complications such as corneal edema, anterior chamber bleeding, postoperative uveitis were low in both groups.Conclusions Phacoemulsification and trabeculectomy is effective and safe treatment for the patients with angle-closure glaucoma and cataract.

关键词

白内障/青光眼/超声乳化/小梁切除术

Key words

Cataract/Angle-closure glaucoma/Phacoemulsification/Trabeculectomy

引用本文复制引用

汤代文,荣瑜..超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障的临床研究[J].临床眼科杂志,2017,25(4):339-341,3.

临床眼科杂志

OACSTPCD

1006-8422

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