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[摘要]
目的:分析并探讨超声乳化白内障吸除人工晶状体植入术治疗急性闭角型青光眼的临床效果。
方法:选取在我院接受治疗的闭角型青光眼患者80例。根据患者意愿及临床症状选择治疗方案,并根据治疗方案将分为观察组(n=40)与对照组(n=40)。观察组采用微切口超声乳化联合人工晶状体植入术(蓝光滤过型非球面人工晶状体AcrySof IQ IOL)进行治疗,对照组采用复合式的小梁切除术进行治疗。
结果:观察组治疗后视力为0.71±0.17,眼内压为9.98±3.23mmHg。对照组治疗后视力为0.46±0.16,眼内压为14.1±3.83mmHg。观察组视力(t=6.77)和眼内压(t=5.21)明显优于对照组(P<0.05)。观察组术后并发症发生率为8%,对照组术后并发症发生率为12%,所有患者经过处理后恢复良好,两组患者并发症发生率经统计学检验无统计学差异(P>0.05)。
结论:超声乳化白内障吸除人工晶状体植入术治疗急性闭角型青光眼效果明显,且并未明显增加术后并发症,值得临床推广。
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[Abstract]
AIM:To analyze and discuss the effect of phacoemulsification combined with intraocular lens implantation on the treatment of acute angle-closure glaucoma.
METHODS:Eighty patients with angle-closure glaucoma in our hospital were selected. The therapeutic plans were determined by the patients and the clinical symptoms. They were divided into observation group(n=40)and control group(n=40). Patients in observation group were treated by micro incision phacoemulsification combined with intraocular lens implantation(blue light filtering aspheric intraoeular lens-AcrySof IQ IOL). Patients in control group were treated by compound trabeculectomy.
RESULTS:The visual acuity of observation group was 0.71±0.17 after treatments, intraocular pressure(IOP)was 9.98±3.23mmHg. Visual acuity of the control group was 0.46±0.16, IOP was 14.1±3.83mmHg. Visual acuity and IOP of observation group were statistically significant than those of control group(t=6.77,5.21 respectively, P<0.05).The postoperative complication rate was 8% in observation group, the control group was 12%. All patients recovered well after treatments for the complications. The difference of complication rate between the two groups was not statistically significant(P>0.05).
CONCLUSION:Phacoemulsification combined with intraocular lens implantation is effective on the treatment of acute angle-closure glaucoma, and does not increase the complication risk, which deserves clinical promotion.
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