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目的探讨超声乳化加人工晶状体植入术治疗原发性闭角型青光眼合并白内障的临床疗效。方法选择原发性闭角型青光眼合并白内障患者88例(94眼),根据随机数字表法分为两组,每组44例(47眼)。对照组予以小梁切除术,观察组实施小梁切除术与超声乳化人工晶状体植入术。比较两组术后视力、眼压情况及并发症。结果术后两组视力和眼压明显改善,观察组视力高于对照组,眼压低于对照组,差异有统计学意义(P<0.05);观察组低眼压性浅前房、前房炎症、黄斑水肿等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论超声乳化加人工晶状体植入术治疗,能改善原发性闭角型青光眼合并白内障患者的术后视力、眼压,安全性高。
Objective To investigate the clinical effect of phacoemulsification and intraocular lens implantation in the treatment of primary angle-closure glaucoma combined with cataract. Methods Eighty-four patients (94 eyes) with primary angle-closure glaucoma and cataract were selected and randomly divided into two groups (n = 44, 47 eyes). The control group was treated by trabeculectomy, and the observation group underwent trabeculectomy and phacoemulsification. The postoperative visual acuity, intraocular pressure and complications were compared between the two groups. Results The visual acuity and intraocular pressure of the two groups were significantly improved after operation. The visual acuity of the observation group was higher than that of the control group, and the intraocular pressure was lower than that of the control group (P <0.05) , Macular edema and other complications were lower than the control group, the difference was statistically significant (P <0.05). Conclusion Phacoemulsification and intraocular lens implantation can improve the postoperative visual acuity and intraocular pressure in patients with primary angle-closure glaucoma and cataract.