摘要
目的:探讨急性闭角型青光眼行白内障超声乳化+人工晶状体植入联合房角分离术中的细节问题。方法:回顾我院2013-02/2015-10原发性急性闭角型青光眼(primary acute angle-closure glaucoma,PAACG)患者21例21眼,行白内障超声乳化+人工晶状体植入联合房角分离术,讨论术中手术切口、环形撕囊、水分离、人工晶状体选择、房角分离等细节方面问题,观察术中术后并发症,术后视力和眼压情况。结果:本组患者术后随访1mo,眼压均控制在21mmHg以下,视力均有不同程度提高,术后恢复快,并发症少。本组1眼患者术后角膜水肿失代偿,1眼患者术中后囊破裂。结论:急性闭角型青光眼患者行白内障超声乳化+人工晶状体植入联合房角分离术,术中注意细节问题处理,提高手术安全性,可使手术更趋于完善。
AIM ： To discuss the details about the phacoemulsification and intraocular lens implantation combined with goniosynechialysis for the treatment of primary acute angle-closure glaucoma （PAACG）. METHODS- Totally 21 patients （21 eyes） with PAACG from February 2013 to October 2015 were performed phacoemulsification and intraocular lens implantation combined with goniosynechialysis. The details such as incision, circular capsulorhexis, water separation, intraocular lens selection, goniosynechialysis were discussed. The vision, intraocular pressure, complications were observed. RESULTS： Postoperative intraocular pressure of all patients with were controlled under 21mmHg followed up for lmo. Visual acuity was improved to some extent. The patients were observed with rapid recovery and fewer complications. There was 1 eye with posterior capsule rupture intraoperatively and 1 eye with decompensated corneal edema postoperatively. CONCLUSION： It makes this surgery more safe and perfect by disposing the details during operation.
出处
《国际眼科杂志》
CAS
2017年第6期1164-1166,共3页
International Eye Science
