超声乳化人工晶状体植入联合房角分离术治疗原发性急性闭角型青光眼合并白内障的研究

吴巧娥

【摘 要】 目的：研究超声乳化人工晶状体植入联合房角分离术治疗原发性急性闭角型青光眼合并白内障患者的临床疗效。方法：抽取2017年5月至2019年5月本院收治的32例原发性急性闭角型青光眼合并白内障患者为研究对象，将其通过随机数表字表法分为观察组和对照组，各16例。对照组采取周边虹膜切除术实施治疗，观察组采取超声乳化人工晶状体植入联合房角分离术实施治疗，比较治疗后两组患者的视力恢复水平以及中央前房深度变化。结果治疗前两组患者视力水平和中央前房深度不存在显著差异，无统计学意义（P>0.05），经对比发现，观察组患者治疗后的视力水平以及中央前房深度均升高，治疗后组间比较，观察组均高于对照组，对比效果明显，差异具有统计学意义（P<0.05）。结论：超声乳化人工晶状体植入联合房角分离术对闭角型青光眼合并白内障患者有较好的临床治疗效果，显著改善了患者的视力水平和中央前房深度，建议临床应用。

【关键词】 超声乳化人工晶状体植入;房角分离术;闭角型青光眼;白内障

Phacoemulsification and intraocular lens implantation combined with goniosynechialysis in the treatment of primary acute angle closure glaucoma complicated with cataract

Wu Qiaoe

Zhuanglang People's Hospital， Pingliang， Gansu 744699

[Abstract] Objective：To study the clinical effect of phacoemulsification and intraocular lens implantation combined with goniosynechialysis in the treatment of primary acute angle closure glaucoma complicated with cataract. Methods： A total of 32 patients with primary acute angle-closure Glaucoma（Pacg）complicated with cataract admitted to our hospital from May 2017 to May 2019 were randomly divided into observation group and control group（n=16）.The control group was treated by peripheral iridectomy，and the observation group was treated by Phacoemulsification and IOL implantation combined with angle separation.The visual acuity and central anterior chamber depth were compared between the two groups. Results： There was no significant difference in visual acuity and central anterior chamber depth between the two groups before treatment（P>0.05）.After contrast，the visual acuity and central anterior chamber depth of the observation group were increased，after treatment，the observation group was higher than the Control Group，the contrast effect was obvious，the difference was statistically significant（P<0.05）. Conclusion： Phacoemulsification and intraocular Lens Implantation combined with angle separation is effective in the treatment of angle-closure Glaucoma with cataract，and significantly improves visual acuity and central anterior chamber depth，it is suggested that clinical application should be popularized.

[Key words]Phacoemulsification and intraocular lens implantation; Goniosynechiasis; Angle closure glaucoma; Cataract

在致使人類失明的三大致盲眼病中，青光眼和白内障就是其二。这两种眼部疾病的患病几率会随着年龄的增加而增加，一般会单独发生，但也有可能会同时发生。近年来，我国人口老龄化逐渐加剧，因此患白内障的人数也在逐年增多。在青光眼病患中，以原发性急性闭角型青光眼较为常见[1]。而当原发性急性闭角型青光眼合并白内障同时发生时，可能会导致患者出现视力下降、眼痛、头痛、以及恶心呕吐等情况。为此，本院采取超声乳化人工晶状体植入联合房角分离术治疗原发性急性闭角型青光眼合并白内障[2]。本研究于2017年5月至2019年5月从本院选取的32例原发性急性闭角型青光眼合并白内障患者为研究对象，通过对比两组患者治疗后的临床效果，探究采用超声乳化人工晶状体植入联合房角分离术治疗原发性急性闭角型青光眼合并白内障患者的临床效果。