超声乳化联合房角分离术治疗青光眼合并白内障的疗效

Clinical effect of phacoemulsification and goniosynechialysis for angle-closure glaucoma with cataract

摘要:

目的:观察超声乳化联合房角分离手术治疗合并闭角型青光眼白内障的临床效果。方法:对合并闭角型青光眼的白内障患者56例56眼均在表面麻醉+球后麻醉下行透明角膜切口的白内障超声乳化联合房角分离术。结果:术后仅5眼在4d内眼压轻度增高(25～30mmHg),经治疗后眼压降至20mmHg以下,随访3～24mo眼压正常。术后视力较术前明显提高,达0.3～0.8,中央前房深度、房角与术前相比均有不同程度改善。结论:对于部分合并闭角型青光眼的白内障患者,超声乳化联合房角分离术是一种便捷、安全、有效的方法,具有降压和增视的双重效果。

Abstract:

·AIM:To observe clinical effect of phacoemulsification and goniosynechialysis for angle-closure glaucoma with cataract.·METHODS:Totally 56 patients 56 eyes with cataract and angle-closure glaucoma underwent transparent corneal insision of cataract phacoemulsification and goniosynechialysis by surface anaesthesia and retrobulbar anaesthesia.·RESULTS:Intraocular pressure(25-30mmHg)was elevated in 5 eyes in 4 days,and in the follow-up of 3-24 months,intraocular pressure decreased to normal range after treatment.Visual acuity,central anterior chamber depth and angle were improved after operation.·CONCLUSION:For patients with angle-closure glaucoma and cataract,phacoemulsification and goniosynechialysis is a convenient,safe and effective method,and have the effects of depressurization and improving vision.·