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[摘要]
目的：评估超声乳化手术治疗原发性闭角型青光眼(primary angle-closure glaucoma，PACG)的临床效果及预后影响因素。
方法：对合并PACG白内障的患者60例70眼，其中急性PACG 43眼，慢性PACG 27眼。采用超声乳化白内障摘出联合折叠式人工晶状体植入手术治疗，手术前后观察视力、眼压、房角镜检查、前房深度等。术后随访6mo。
结果：手术前后比较：视力提高(P<0.05)； 平均眼压下降(P<0.01)； 房角不同程度开放(P<0.01)； 前房深度增加(P<0.01)。手术成功率：急性PACG组高于慢性PACG组，差异有统计学意义(P<0.05)。
结论：超声乳化手术对急性PACG治疗效果优于慢性PACG，慢性期及慢性PACG治疗效果差。
[Key word]
[Abstract]
AIM:To evaluate the clinical outcomes and affected factors of prognosis of cataract extraction by phacoemulsification with intraocular lens implantation in eyes with primary angle-closure glaucoma(PACG)and co-existing cataract.
METHODS: Totally 60 cases(70 eyes)of PACG with cataract, including 43 eyes with acute primary angle-closure glaucoma(APACG), 27 eyes of chronic primary angle-closure glaucoma(CPACG). The main outcome measures included: visual acuity, intraocular pressure, gonioscopy, depth of anterior chamber(ACD). Patients were examined 6 months after surgery.
RESULTS: After phacoemulsification, visual acuity was improved(P<0.05), postoperative mean IOP was decreased(P<0.01), part of anterior chamber was widened(P<0.01). The depth of anterior chamber(ACD)was deepen(P<0.01).
CONCLUSION:Phacoemulsification is more effective for acute APACG than for CPACG.
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