标题:超声乳化联合 IOL植入术治疗原发性闭角型青光眼合并白内障疗效观察
作者:姚培好,萧杨添,黄斯亮 高州市中医院眼科,广东 高州 525200
卷次:
2021年32卷4期
【摘要】 目的 探讨白内障超声乳化联合人工晶状体(IOL)植入术治疗原发性闭角型青光眼合并白内障的疗效,为患者诊疗提供依据。方法 回顾性分析2018年1月至2020年3月高州市中医院眼科收治的53例原发性闭角型青光眼合并白内障患者的临床资料。根据治疗方法不同分组,其中以25例行周边虹膜切除手术治疗者为对照组,28例行超声乳化联合 IOL植入术治疗者为观察组。术后3个月比较两组患者的治疗效果和术前、术后3个月的视力、眼压、前房深度、生活质量[采用视功能指数量表(VF-14)评估]以及并发症发生情况。结果 观察组患者的治疗总成功率为92.86%,明显高于对照组的72.00%,差异有统计学意义(P<0.05);术后3个月,两组患者的视力、前房深度均明显升高,且观察组分别为(0.78±0.09)、(3.98±0.34) mm,明显高于对照组的(0.64±0.10)、(2.65±0.41) mm,眼压明显降低,观察组为(14.12±2.10) mmHg,明显低于对照组的(19.24±2.62) mmHg,差异均有统计学意义(P<0.05);术后3个月,两组患者的生活质量评分均明显升高,观察组为(45.17±4.01)分,明显高于对照组的(38.69±4.22)分,差异有统计学意义(P<0.05);观察组患者的并发症发生率为7.14%,明显低于对照组的28.00%,差异有统计学意义(P<0.05)。结论 超声乳化联合 IOL植入术治疗原发性闭角型青光眼合并白内障可有效改善患者的视力,降低眼压及并发症,提高生活质量,临床治疗效果好。
【关键词】 原发性闭角型青光眼;白内障;超声乳化;人工晶状体植入术;视力;生活质量;疗效;并发症
【中图分类号】 R775.2 【文献标识码】 A 【文章编号】 1003—6350(2021)04—0479—04
Effect of phacoemulsification combined with IOL implantation in the treatment of primary angle closureglaucoma with cataract.
YAO Pei-hao, XIAO Yang-tian, HUANG Si-liang. Department of Ophthalmology, GaozhouHospital of Traditional Chinese Medicine, Gaozhou 525200, Guangdong, CHINA
【Abstract】 Objective To investigate the effect of phacoemulsification combined with intraocular lens (IOL)implantation in the treatment of primary angle closure glaucoma with cataract, and to provide basis for the diagnosis andtreatment of patients. Methods The clinical data of 53 patients with primary angle closure glaucoma complicated withcataract admitted to Gaozhou Hospital of Traditional Chinese Medicine from January 2018 to March 2020, were retro-spectively analyzed. According to different treatment methods, the patients were divided into two groups: the controlgroup (n=25, treated with peripheral iridectomy) and the observation group (n=28, treated with phacoemulsification com-bined with IOL implantation). Three months after operation, the treatment effect, visual acuity, intraocular pressure, ante-rior chamber depth, quality of life (evaluated by visual function index [VF-14]) and complications of the two groupswere compared. Results The total success rate of the observation group was 92.86%, which was significantly higherthan 72.00% of the control group (P<0.05); after 3 months, the visual acuity and anterior chamber depth of the twogroups increased, and the observation group were 0.78±0.09 and (3.98±0.34) mm versus 0.64±0.10 and (2.65±0.41) mmof the control group (P<0.05); the intraocular pressure decreased, and the observation group was (14.12±2.10) mmHgversus (19.24±2.62) mmHg of the control group (P<0.05); the quality of life scores of the two groups increased, and thescore in the observation group was (45.17±4.01) points, versus (38.69±4.22) points in the control group (P<0.05 ); thecomplication rate of the observation group was 7.14%, which was significantly lower than 28.00% of the control group(P<0.05). Conclusion In the treatment of primary angle closure glaucoma with cataract, phacoemulsification com-bined with IOL implantation can effectively improve the visual acuity of patients, reduce intraocular pressure and compli-cations, improve the quality of life, and the clinical treatment effect is good.
【Key words】 Primary angle closure glaucoma; Cataract; Phacoemulsification; Intraocular lens (IOL) implanta-tion; Vision; Quality of life; Efficacy; Complications
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