南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (12): 1583-1584.

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超声乳化白内障吸除术治疗闭角型青光眼疗效观察

朱敏, 赵刚平, 虞林丽, 何锦贤, 余建洪   

  1. 佛山市第一人民医院眼科, 广东, 佛山, 528000
  • 出版日期:2005-12-20 发布日期:2005-12-20
  • 基金资助:
    收稿日期:2005-3-22。
    作者简介:朱敏,女,副主任医师,E-mail:zmin@fsyyy.com.cn.

Therapeutic effect of phacoemulsification for closed-angle glaucoma

ZHU Min, ZHAO Gang-ping, YU Lin-li, HE Jin-xian, YU Jian-hong   

  1. 佛山市第一人民医院眼科, 广东, 佛山, 528000
  • Online:2005-12-20 Published:2005-12-20

摘要: 目的 探讨超声乳化白内障吸除术对原发性闭角型青光眼的疗效。方法 收集我院2000~2004年部分慢性及急性闭角型青光眼患者55例(58眼),合并晶状体浑浊,行超声乳化白内障吸除联合折叠式人工晶体植入术。随访半年,对比术前、术后视力、眼压、前房深度与前房角的变化。结果 术后最佳矫正视力明显好于术前,前房深度较术前加深,眼压低于术前,部分前房角开放。结论 超声乳化吸除术即可提高视力,又可控制眼压,避免青光眼发作,可有效治疗合并白内障的闭角型青光眼。

Abstract: Objective To investigate the therapeutic effect of phacoemulsification for primary closed-angle glaucoma complicated with cataract. Methods Phacoemulsification with posterior chamber foldable intraocular lens implantation was performed in 55 cases (58 eyes) of acute or chronic primary closed-angle glaucoma complicated with cataract. The changes of visual acuity, intraocular pressure, central anterior chamber depth and anterior chamber angle were observed after operation and the patients were followed up for 6 months. Results Compared with those before operation, the postoperative best corrected visual acuity and anterior chamber depth were improved, the intraocular pressure was reduced, and the closed chamber angle was partially reopened. Conclusion Phacoemulsification with posterior chamber foldable intraocular lens implantation not only improves the visual acuity but also controls the intraocular pressure, and can be a valuable method for treating primary closed-angle glaucoma with cataract.

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