国际眼科杂志2018，Vol.18Issue(6)：1072-1076,5.DOI:10.3980/j.issn.1672-5123.2018.6.21
两种联合手术方式治疗急性闭角型青光眼合并白内障的疗效比较
Two different methods for acute angle-closure glaucoma with cataract
李燕 1汪亮 1李娟 1李朝晖 1程方圆 1刘会德 1李晨皓1
作者信息
摘要
Abstract
· AIM:To investigate the clinical efficacy of phacoemulsification (Phaco) and intraocular lens (IOL) implantation combined with goniosychialysis in the treatment of acute primary angle-closure glaucoma (APACG) with cataract.· METHODS:In this prospective randomized clinical trial,60 eyes of 60 patients with APACG and coexisting cataract were randomized to the control group (30 patients,30 eyes) or the study group (30 patients,30 eyes) and completed the trial.All the two groups were treated with phacoemulsification and intraocular lens implantation,and the control group (30 patients,30 eyes) was combined with trabeculectomy,while the study group (30 patients,30 eyes) was treated with the goniosychialysis.All patients were followed up for 2mo.The preoperative and postoperative best corrected visual acuity (BCVA),intraocular pressure (IOP),anterior chamber depth (ACD),anterior chamber angle(ACA) and complications were compared.· RESULTS:There were no statistically significant differences between the 2 groups in BCVA,IOP,ACD,ACA before surgery(P＞ 0.05).The postoperative BCVA,lOP,ACD and re-opening anterior chamber angle (ACA) in two groups were all improved,and the differences had statistical significance (P ＜ 0.001).BCVA,ACD,re-opening ACA of research group were significantly better than those of the control group (P＜0.05).The decreased IOP of the study group were more than the control group and the complications of the control group were more than the study group,but there was no statistical difference in the postoperative IOP and complications between two groups (P＞0.05).· CONCLUSION:The phacoemulsification and IOL implantation combined with goniosychialysis can improve the vision of patients,decrease IOP,increase ACD,and re-opening anterior chamber angle (ACA) in patients with APACG combined with cataract.It has a positive clinical effect.关键词
白内障/青光眼/超声乳化术/人工晶状体植入术/房角分离术/小梁切除术Key words
cataract/glaucoma/phacoemulsification/intraocular lens implantation/goniosychialysis/trabeculectomy引用本文复制引用
李燕,汪亮,李娟,李朝晖,程方圆,刘会德,李晨皓..两种联合手术方式治疗急性闭角型青光眼合并白内障的疗效比较[J].国际眼科杂志,2018,18(6):1072-1076,5.
