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目的观察超声乳化联合前房角分离术治疗青光眼合并白内障的临床疗效。方法选择2014年8月至2016年4月青光眼合并白内障患者80例,给予所有患者超声乳化联合前房角分离术治疗,观察患者术后眼压水平、前房深度、视力水平,并与手术前展开对比分析。结果患者术后眼压水平为(16.7±2.8)mm Hg,明显低于术前的(32.5±4.9)mm Hg,术后前房深度为(3.6±0.9)mm,明显大于术前的(1.5±0.4)mm,差异有统计学意义(P<0.05);患者术后视力水平为0.7±0.03,明显高于术前的0.23±0.01,差异有统计学意义(P<0.05)。结论超声乳化联合前房角分离术治疗青光眼合并白内障能够有效增宽眼角、促进房水循环、控制眼压,改善视力水平,具有安全有效的应用价值,值得推广。
Objective To observe the clinical effect of phacoemulsification combined with anterior chamber angle angle in the treatment of glaucoma and cataract. Methods Eighty patients with glaucoma and cataract were selected from August 2014 to April 2016. All patients underwent phacoemulsification combined with anterior chamber angle angiography. The intraocular pressure, anterior chamber depth and visual acuity were observed and compared with those before operation Expand comparative analysis. Results The postoperative intraocular pressure (IOP) was (16.7 ± 2.8) mm Hg, which was significantly lower than that of preoperative (32.5 ± 4.9) mm Hg. The depth of anterior chamber was (3.6 ± 0.9) mm, ± 0.4) mm, the difference was statistically significant (P <0.05). The postoperative visual acuity was 0.7 ± 0.03, which was significantly higher than that of preoperative 0.23 ± 0.01 (P <0.05). Conclusion Phacoemulsification combined with anterior chamber angle angle correction for glaucoma combined with cataract can effectively widen the corner of the eye, promote aqueous humor circulation, control intraocular pressure and improve visual acuity. It is safe and effective and should be popularized.