Abstract
Objective To compare the effects of three different surgical treatments for secondary angle clo-sure glaucoma(SACG)with lens suspensory ligament abnormalities.Methods A total of 60 cases(64 eyes)SACG with lens suspensory ligament abnormalities were collected in Beijing Tongrentang Traditional Chinese Medicine Hospital.According to the degree of suspension and fracture range of suspensory ligament,60 cases were divided into the group Ⅰ of 16 cases(17 eyes)undergoing phacoemulsification(PE)combined with in-traocular lens implantation,group Ⅱ of 35 cases(36 eyes)undergoing PE combined with intraocular lens im-plantation and tension ring,and group Ⅲ of 9 cases(11 eyes)undergoing PE combined with intraocular lens suspension surgery and anterior vitreous resection.T he intraocular pressure,best corrected visual acuity(BC-VA),central anterior chamber depth,angle closure degree and ranges of drugs of the three groups were com-pared between three groups before and after surgery.Results The intraocular pressure after operation in the group Ⅰ,group Ⅱ,group Ⅲ were lower than those before operation(t＝ －3.76,－3.24,－2.97,P＜0.05);the intraocular pressure in group Ⅰ was lower than those in group Ⅱ and group Ⅲ,and the difference was statistically significant(t＝ －2.86,－3.32,P＜0.05),w hile the levels of intraocular pressure in the group Ⅱand group Ⅲ showed no significant difference(t＝ －0.86,P＞0.05);the BCVA of the group Ⅰ,group Ⅱ,group Ⅲ after operation were higher than that before operation(t＝3.85,3.12,2.89,P＜0.05)and the BCVA in the group Ⅰ after operation was higher than those of group Ⅱ and group Ⅲ,the difference was statistically significant(t＝2.79,2.68,P＜ 0.05),while the BCVA in the group Ⅱ and group Ⅲ showed no significant difference(t＝0.74,P＜0.05);the central anterior chamber depth of the group Ⅰ,group Ⅱ,group Ⅲ were superior to the preoperative levels,and the differences were statistically significant(t＝3.76,3.24,2.97,P＜0.05)and the depth in the group Ⅰ was superior to those in group Ⅱ and group Ⅲ,the difference was statis-tically significant(t＝3.64,3.77,P＜0.05),while the depth in the group Ⅱ and group Ⅲ showed no signifi-cant difference(t＝0.95,P＜0.05);the postoperative medication in the group Ⅰ,group Ⅱ and group Ⅲ were less than that before operation,and the difference was statistically significant(Z＝ －2.79,－4.15,－2.58,P＜0.05);the range of closure angle after operation in the group Ⅰ,group Ⅱ,group Ⅲ were less than preop-erative levels,and the differences were statistically significant(Z＝ －4.13,－4.01,－3.75,P＜0.05).Conclu-sion PE combined with intraocular lens implantation in the treatment of abnormal SACG with lens suspen-sion can obtain better curative effects,can significantly improve the postoperative intraocular pressure and BC-VA,deepen the central anterior chamber depth and open angle,so it is worthy of clinical application.关键词
晶状体悬韧带/继发性闭角型青光眼/超声乳化白内障吸除术/人工晶状体植入术Key words
lens suspensory ligament/secondary angle closure glaucoma/phacoemulsification/in-traocular lens implantation分类
医药卫生
