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目的:探析白内障超声乳化人工晶体植入术与巩膜隧道内小梁切除术联合治疗急性闭角型青光眼合并白内障的临床效果。方法:选取重庆市江津区第二人民医院2015年10月至2017年3月收治的60例(60眼)急性闭角型青光眼合并白内障患者为研究对象,均行白内障超声乳化人工晶体植入术联合巩膜隧道内小梁切除术,统计分析患者治疗前后的前房深度、眼压、视力及并发症发生情况。结果:患者治疗后前房深度、眼压均小于治疗前,视力优于治疗前,治疗前后比较,差异具有统计学意义(P<0.05)。60例患者均出现不同程度角膜内皮水肿、轻度虹膜炎性反应,经对症治疗后痊愈;3例患者出现低眼压与浅前房,经滤口加压包扎与散瞳处理后恢复。结论:白内障超声乳化人工晶体植入术与巩膜隧道内小梁切除术联合治疗急性闭角型青光眼合并白内障患者的效果非常好,能够显著改善患者视力,具有高效、安全的特点。
Objective: To investigate the clinical effect of combined phacoemulsification with scleral tunnel trabeculectomy in the treatment of acute angle-closure glaucoma complicated with cataract. Methods: 60 patients (60 eyes) with acute angle-closure glaucoma and cataract who were admitted to the Second People’s Hospital of Jiangjin District in Chongqing from October 2015 to March 2017 were selected as the study objects. All patients underwent phacoemulsification with intraocular lens implantation Combined scleral tunnel trabeculectomy, statistical analysis of patients before and after treatment of anterior chamber depth, intraocular pressure, visual acuity and complications. Results: After treatment, the depth of anterior chamber and intraocular pressure were all less than those before treatment. The visual acuity was better than before treatment and before and after treatment. The difference was statistically significant (P <0.05). All 60 cases showed corneal endothelium edema and mild iris inflammatory reaction, and recovered after symptomatic treatment. Three patients developed hypotensive pressure and shallow anterior chamber, and then recovered by filter dressing and mydriasis. CONCLUSION: Cataract phacoemulsification and intra-scleral trabeculectomy combined with trabeculectomy in the treatment of acute angle-closure glaucoma combined with cataract patients have a very good effect, which can significantly improve the patient’s visual acuity, with high efficiency and safety.