白内障超声乳化房角分离术治疗急性闭角型青光眼合并白内障的临床研究.doc

白内障超声乳化房角分离术治疗急性闭角型青光眼合并白内障的临床研究
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作者:刘艳,蔡小军,张倩,李莹,黄丹琳
【摘要】目的探讨白内障超声乳化摘除及折叠人工晶体植入术治疗闭角型青光眼合并白内障的临床效果。方法对已诊断为闭角型青光眼合并白内障的60例患者的72只眼施行白内障超声乳化摘除及折叠人工晶体植入术,对房角关闭区域用粘弹剂、辅助钩和灌注头进行钝性分离。对比手术前后视力、房角镜下房角变化,对视野及眼压进行追踪随访时间≤2年者60眼,2年者12眼。结果有1只眼再发眼压升高,施行小梁切除术后眼压控制,其余患者眼压控制正常范围, 50 眼术后房角开放,除再发眼压升高的1只眼的视野继续损害外,71只眼均无视野缩小。结论超声乳化白内障摘除联合房角分离术是治疗闭角型青光眼的有效方法。
【关键词】白内障超声乳化摘除术;房角分离术;青光眼;白内障
ABSTRACT: Objective To study the clinical effect of phacoemulsification and goniosychialysis for the treatment of angleclosure a withcataract. Methods 60 eyes of 72 patients were undergone phacoemulsification and IOL bined main e measures were pre
operation and postoperation change of anterior chamber angle,visual,visual field and intraocular eyes were followed up within 2 years,12 eyes over 2 years. Results The intraocular pressure of 1 eye raised the management of trabeculectomy the pressure was controlled. The anterior chamber angles of 50 eyes were visual fields of 71 (71 or 72) eyes had no contraction except for 1 eye with raised intraocular pressure. Conclusion bined with goniosychialysis is an effective surgery for angleclosure a except for inflammative a.
KEY WORDS:Phacoemulsification;Goniosychialysis;a;Cataract
近年来在关于闭角型青光眼发病机制的研究中, 随着对晶状体年龄相关性改变促进青光眼的发生发展的认识的逐步深入,晶状体的位置以及厚度的变化已被认为起着相当重要的