实用医学杂志2024，Vol.40Issue(2)：213-218,6.DOI:10.3969/j.issn.1006-5725.2024.02.015
激光辅助巩膜切除及白内障摘除联合房角分离治疗闭角型青光眼
Laser assisted sclerectomy and cataract extraction combined with angle separation in the treatment of angle closure glaucoma
摘要
Abstract
Objective To explore the clinical efficacy of laser-assisted sclerectomy and cataract extraction combined with angle separation in the treatment of angle-closure glaucoma.Methods A total of 162 patients with angle closure glaucoma were selected as the research subjects.Eighty-one patients in the experimental group under-went laser-assisted sclerectomy and cataract extraction combined with angle separation,and another 81 patients in the control group underwent cataract extraction combined with angle separation.The therapeutic effects of two groups of patients were observed.Results The postoperative visual acuity,BCVA,angle width,and corneal endothelial cell count of the experimental group were higher than those of the control group,but the intraocular pressure,central anterior chamber depth,and corneal thickness were all lower than those in the control group.The incidence of adverse reactions in the experimental group(6.2% )was lower than that in the control group(13.6% ).During postop-erative follow-up,there was no further increase in intraocular pressure in the two groups,while the height of filtering blebs in the control group decreased significantly when compared with that in the experimental group.One month after surgery,the BCVA and corneal endothelial cell count in the experimental group were higher than those in the control group(P<0.05),and the corneal thickness was lower than that in the control group(P<0.05),but no statistical significance was found at 3 and 6 months after surgery.The astigmatism in the experimental group was better than that in the control group 3 months after surgery,but there was no statistically significant difference at 1 month and 6 months after surgery.Conclusion Laser-assisted sclerectomy and cataract extraction combined with angle separa-tion are effective and safe in the treatment of angle closure glaucoma.关键词
激光辅助巩膜切除/白内障摘除/房角分离/闭角型青光眼Key words
laser-assisted sclerectomy/cataract extraction/angle separation/angle closure glaucoma分类
医药卫生引用本文复制引用
谢九冰,陈喜月,岳向东,陈艳辉,姜伟,杨杉杉..激光辅助巩膜切除及白内障摘除联合房角分离治疗闭角型青光眼[J].实用医学杂志,2024,40(2):213-218,6.基金项目
河北省卫生厅科研基金项目(编号:20201548) （编号:20201548）
