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目的观察表面麻醉小切口非超声乳化手术+IOL植入联合房角分离术治疗合并有白内障的急性闭角型青光眼的疗效,以及术前术后房角形态的改变。方法表面麻醉小切口非超声乳化手术+IOL植入联合房角分离术治疗急性闭角型青光眼31例(46眼),对其手术前后的视力、眼压、中央前房深度、房角形态进行对照观察。结果术后矫正视力不同程度提高,眼压在21mmHg以下,中央前房深度加深,房角加宽。结论对于部分合并闭角型青光眼的白内障患者,小切口非超声乳化手术+IOL植入术联合房角分离术是一种便捷、安全、有效的方法。
Objective To observe the efficacy of surface anesthesia with small incision non-phacoemulsification and IOL implantation combined with angle-angle separation in the treatment of acute angle-closure glaucoma with cataract and the change of the angle of the anterior chamber after surgery. Methods A total of 31 eyes (46 eyes) with acute angle-closure glaucoma were treated with small incision non-phacoemulsification and IOL implantation combined with angle-angle separation. Their visual acuity, intraocular pressure, central anterior chamber depth, Control observation. Results postoperative corrected visual acuity improved to varying degrees, IOP below 21mmHg, the central anterior chamber depth deepened, angle widening. Conclusions For cataract patients with partially combined angle-closure glaucoma, small incision non-phacoemulsification combined with IOL implantation combined with room angle separation is a convenient, safe and effective method.