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目的探讨超声乳化吸出及人工晶体植入术治疗闭角型青光眼的临床疗效。方法回顾分析80例(92眼)的临床资料。结果术后裸眼视力0.04～1.2,其中裸眼及矫正视力在0.8以上者72眼,0.3～0.7有16眼,0.2以下者4眼,分别合并黄斑变性、糖尿病视网膜病、视神经萎缩及高度近视视网膜病变等其他眼病。结论采用晶状体超声乳化吸出联合人工晶状体植入术治疗闭角型青光眼合并白内障手术,既可以达到治疗青光眼,降低眼内压,又能解除白内障晶状体浑浊所引起的视力下降,无青光眼手术后由于滤过手术器械操作等并发症,减少了因多次眼内手术可能增加术后囊样黄斑水肿,视网膜脱离等并发症的发生,值得临床应用。
Objective To investigate the clinical efficacy of phacoemulsification and intraocular lens implantation in treatment of angle-closure glaucoma. Methods The clinical data of 80 cases (92 eyes) were retrospectively analyzed. Results The postoperative uncorrected visual acuity was 0.04 ~ 1.2. There were 72 eyes with uncorrected visual acuity of 0.8 or more, 16 eyes of 0.3 ~ 0.7, 4 eyes of less than 0.2 with macular degeneration, diabetic retinopathy, optic atrophy and highly myopic retinopathy Other eye diseases. Conclusion Phacoemulsification combined with intraocular lens implantation for angle-closure glaucoma combined with cataract surgery can not only reduce glaucoma, reduce intraocular pressure, but also relieve cataract lens opacity caused by decreased visual acuity, no glaucoma surgery due to filtration Surgical instruments and other complications have been reduced due to multiple intraocular surgery may increase postoperative cystoid macular edema, retinal detachment and other complications, it is worth clinical application.