摘要目的 评价超声乳化联合前房角分离术治疗原发性闭角型青光眼的临床效果.方法 回顾性分析2017年7月至2018年5月本院眼科白内障伴慢性原发性闭角型青光眼41例(41眼)的临床资料,其中行单纯晶状体超声乳化20例(20眼)为A组,行晶状体超声乳化联合前房角分离术的21例(21眼)为B组.术后随访3个月.结果 两组术后视力均较术前改善(P＜0.05).两组眼压术后3个月均较术前降低(P＜0.05).两组前房深度术后3个月较术前加深(P＜0.05).术后眼压和前房深度两组间差异无统计学意义(P＞0.05).A组有3例术后出现眼压升高,B组未出现眼压升高患者.A组术后3个月有2例出现部分前房角关闭,B组前房角均较术前增宽(P＜0.05).结论 超声乳化联合前房角分离术,能够更有效控制眼压,是治疗闭角型青光眼伴白内障的安全有效方法.

abstractsObjective To evaluate the clinical efficacy of phacoemulsification combined with goniosynechialysis for the treatment of primary angle-closure glaucoma.Methods The data of 41 eyes of 41 cases with primary angle-closure glaucoma and cataract from Jul.2017 to May 2018 were analyzed retrospectively.They were divided into two groups randomly.Group A,20 eyes of 20 cases,underwent phacoemulsification,group B,21 eyes of 21 cases,were treated with phacoemulsification combined with goniosynechialysis.All patients were followed-up for 3 months.Results The best corrected visual acuity after surgery was significantly improved in both groups (P ＜ 0.05).The intraocular pressure (IOP) decreased 3 months after surgery in the two groups (P ＜ 0.05).The anterior chamber depth (ACD) markedly increased 3 months after surgery (P ＜ 0.05).The difference in IOP and ACD were not significant between the two groups (P ＞ 0.05).The intraocular hypertension occurred in 3 cases in group A and no case in group B.The angle closure happened in 2 cases in group A at 3 months after surgery.The angle of anterior chamber was widened after surgery in the group B.Conclusion Phacoemulsification combined with goniosynechialysis is safe and effective for patients with primary angle-closure glaucoma and cataract.