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目的观察小切口白内障囊外摘除联合后房型人工晶状体植入术治疗合并白内障的闭角型青光眼的疗效。方法回顾分析我科住院行小切口白内障囊外摘除联合后房型人工晶状体植入术且资料完整的38例(53眼)闭角型青光眼资料,其中39只眼为原发性急性闭角型青光眼,14只眼为原发性慢性闭角型青光眼,患者均有明显的晶状体混浊。随访6个月至24个月,平均13.3个月。结果急性闭角型青光眼组术前眼压(49.1±14.8)mm Hg(1 mm Hg=0.133 kPa),术后眼压(13.2±4.5)mm Hg。慢性闭角型青光眼组术前眼压(42.6±14.1)mm Hg,术后眼压(14.5±4.1)mm Hg。术后45只眼(85.00%)最佳矫正视力提高。结论小切口白内障囊外摘除联合后房型人工晶状体植入术可有效治疗合并白内障的闭角型青光眼。
Objective To observe the effect of small incision extracapsular cataract extraction combined with posterior chamber intraocular lens implantation in the treatment of angle closure glaucoma with cataract. Methods 38 cases (53 eyes) of angle-closure glaucoma with small incision extracapsular cataract extraction combined with posterior chamber intraocular lens implantation in our department were retrospectively analyzed. Among them, 39 eyes were primary acute angle-closure glaucoma , 14 eyes of primary chronic angle-closure glaucoma, patients have obvious lens opacity. Followed up for 6 months to 24 months, an average of 13.3 months. Results The intraocular pressure (49.1 ± 14.8) mm Hg (1 mm Hg = 0.133 kPa) and postoperative intraocular pressure (IOP) were 13.6 ± 4.5 mm Hg in patients with acute angle-closure glaucoma. The preoperative IOP was (42.6 ± 14.1) mm Hg and IOP was (14.5 ± 4.1) mm Hg in patients with chronic angle-closure glaucoma. After 45 eyes (85.00%) best corrected visual acuity increased. Conclusion Small incision extracapsular cataract extraction combined with posterior chamber intraocular lens implantation is effective in treating angle-closure glaucoma with cataract.