# 超声乳化白内障吸除联合房角分离术治疗闭角型青光眼合并白内障疗效及对房角宽度的影响Efficacy of Phacoemulsification Combined with Goniosynechialysis on Angle-Closure Glaucoma with Cataract and Its Effects on the Angle of Anterior Chamber

DOI: 10.12677/NS.2019.86073, PDF, HTML, XML, 下载: 362  浏览: 508

Abstract: Objective: To explore the efficacy of phacoemulsification combined with goniosynechialysis (Pha-co-GSL) on angle-closure glaucoma (ACG) with cataract and its effects on angle of anterior chamber. Methods: 90 patients with ACG and cataract admitted to ophthalmology department of our hospital were randomly divided into Phaco-GSL group and Phaco group, with 45 cases in each group. Phaco group was given Phaco + intraocular lens implantation (IOL), and Phaco-GSL group was given Phaco + IOL + GSL. The intraocular pressure, types of ocular hypotensive agents, angle of anterior chamber, best corrected visual acuity and complications were compared between the two groups before and after surgery. Results: The intraocular pressure in the two groups at 1 d, a month and 3 months after surgery was lower than that before surgery (P < 0.05), and the intraocular pressure at 1 month after surgery was lower than that at 1 d after surgery (P < 0.05). The intraocular pressure in Phaco-GSL group at 1 d after surgery was lower than that in Phaco group (P < 0.05), and there was no significant difference in intraocular pressure between the two groups before surgery and at 1 month and 3 months after surgery (P > 0.05). There were no significant differences in the types of ocular hypotensive agents before and after surgery (P > 0.05). The intraocular pressure difference and difference of types of ocular hypotensive agents before and after surgery in Phaco-GSL group were higher than those in Phaco group (P < 0.05). The angle of anterior chamber in the two groups was significantly wider than that before surgery (P < 0.05), and the angle opening in Phaco-GSL group was better than that in Phaco group (P < 0.05). The visual acuity in the two groups was significantly improved at 3 months after surgery (P < 0.05), and there was no significant difference in the best corrected visual acuity between the two groups before surgery and at 3 months after surgery (P > 0.05). There were 11 cases (24.44%) of corneal edema and 2 cases (4.44%) of anterior chamber microbleeds in Phaco-GSL group. There were 10 cases (22.22%) of corneal edema after surgery in Phaco group. There were no complications such as retinal detachment and posterior capsule rupture in the two groups. Conclusions: Phaco-GSL has exact efficacy in the treatment of ACG with cataract, and it can effectively reduce intraocular pressure, open angle, and improve the function of patients.

1. 引言

2. 资料与方法

2.1. 一般资料

2.2. 方法

Phaco组接受Phaco+人工晶状体植入(IOL)术，Phaco-GSL组接受Phaco + IOL + GSL，具体如下：

2.3. 观察指标

2.4. 统计学分析

3. 结果

3.1. 两组不同时间眼压比较