目的:探讨超声乳化(Phacoemulsification,Phaco)联合折叠型人工晶状体植入术对急性闭角型青光眼的临床疗效。方法:选择>50岁患有急性闭角型青光眼伴有晶状体混浊的连续性患者20例23眼,行超声乳化联合折叠型人工晶状体植入术,比较手术前后视力和眼压的变化,超声生物显微镜(ultrasound biomicroscopy,UBM)检测手术前后前房深度(anterior chamber depth,ACD)和房角开放距离(an-gle opening distance,AOD500)的变化。结果:手术前视力和眼压是4.16±0.38和48.65±7.34mmHg,手术后视力和眼压为4.75±0.10和16.65±1.97mmHg;术前术后的前房深度为1.35±0.04mm和3.51±0.07mm,房角开放距离分别为225.09±12.43μm和511.18±12.20μm,手术前后比较差异有统计学意义(P<0.01)。结论:超声乳化联合人工晶状体植入术治疗急性闭角型青光眼安全、有效。

·AIM:To evaluate the clinicaI effects of phacoemulsification(phaco)with foldable intraocular lens(IOL)implantation in the treatment of acute angle-closure glaucoma.·METHODS:Twenty consecutive patients 23 eyes were included in this study with acute angle-closure glaucoma and cataract,and phacoemulsification with foldable IOL implantation were performed.Visual acuity and intraocular pressure(IOP)were recorded pre-and postoperatively.The pre-and postoperative changes about the anterior chamber depth(ACD)and angle opening distance(AOD500)were detected by ultrasound biomicroscopy(UBM).·RESULTS:The mean visual acuity was increased from 4.16±0.38 of preoperative to 4.75±0.10 of postoperative,and IOP was reduced from 48.65±7.34mmHg to 16.65±1.97mmHg.ACD of pre-and postoperation were 1.35±0.04mm and 3.51±0.07mm,AOD500 of pre-and posto-peration were 225.09±12.43μm and 511.18±12.20μm respectively,there was significant difference(P<0.01).·CONCLUSION:Phacoemulsification with foldable IOL implantation is a safe and effective method to treat acute angle-closure glaucoma.·

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