超声乳化白内障吸除联合小梁切除术治疗闭角型青光眼和白内障
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Application analysis of trabeculectomy and phacoemulsification treating primary angle-closed glaucoma and cataract
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    摘要:

    目的:研究对闭角型青光眼(PACG)合并白内障患者,在开展小梁切除术的基础上,配合使用超声乳化术的效果,为此类患者的临床治疗提供依据。

    方法:我院2011-09/2013-09共接受73例PACG合并白内障患者,对所有患者在小梁切除术(TL)的基础上联合使用白内障超声乳化术(UE)进行治疗,观察患者治疗效果。

    结果:两种手术方法联合,能够在有效控制患者的眼压的基础上,保证其视力恢复效果,且经过手术,患者的中央前房深度得到了有效的加深,同时并未出现任何高危并发症。

    结论:小梁切除术联合超声乳化术,对于PACG合并白内障患者具有显著的疗效,其眼压控制效果、视力恢复效果、并发症出现率均较优,值得推广使用。

    Abstract:

    AIM: To research the application analysis of trabeculectomy combined with phacoemulsification treating patients with primary angle-closed glaucoma(PACG)and cataract.

    METHODS: Seventy-three patients from September, 2011 to September, 2013, with primary angle-closed glaucoma and cataract, were selected in our research. Patients were all treated with trabeculectomy combined with ultrasonic emulsification, and the therapeutic effect was observed.

    RESULTS: The effects of trabeculectomy combined with phacoemulsification treating primary angle-closed glaucoma and cataract in reducing intraocular pressure were better, and postoperative visual acuity results of the research objects were satisfactory. And it could deepen the central anterior chamber depth effectively. All the research objects had few complications.

    CONCLUSION: Trabeculectomy combined with phacoemulsification treating primary angle-closed glaucoma and cataract can achieve a good result for reducing intraocular pressure, postoperative visual acuity recovery and correction, and the surgical success rate is high, with low complication rates. It is worthy of widely clinical application.

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叶春华,李苏婉,施天严.超声乳化白内障吸除联合小梁切除术治疗闭角型青光眼和白内障.国际眼科杂志, 2014,14(6):1140-1142.

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  • 收稿日期:2013-12-16
  • 最后修改日期:2014-05-06
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  • 在线发布日期: 2014-05-22
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