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目的探讨超声乳化人工晶体植入术治疗青光眼合并白内障的疗效。方法采用超声乳化人工晶体植入术对83例闭角型青光眼合并白内障患者进行治疗观察。结果术后平均眼压下降,与术前比较差异具有统计学意义(P<0.01)。术后最佳矫正视力均有显著提高,与术前相比差异有统计学意义(P<0.05)。术后平均前房深度(3.95±0.57)mm,与术前相比差异有统计学意义(P<0.05)。术后早期角膜水肿8眼,给予对症处理1 d后均恢复。未发生浅前房,脉络膜脱离及其他严重并发症。结论超声乳化人工晶体植入术具有疗效确切、手术切口小、视力恢复快、炎症反应轻、术中术后并发症少等优点,是闭角型青光眼合并白内障的有效治疗方法 。
Objective To investigate the efficacy of phacoemulsification and intraocular lens implantation in the treatment of glaucoma complicated with cataract. Methods Phacoemulsification and intraocular lens implantation were performed in 83 patients with angle-closure glaucoma and cataract. Results The average postoperative IOP decreased compared with the preoperative difference was statistically significant (P <0.01). Postoperative best corrected visual acuity was significantly increased, compared with the preoperative difference was statistically significant (P <0.05). The average postoperative anterior chamber depth (3.95 ± 0.57) mm, compared with the preoperative difference was statistically significant (P <0.05). Corneal edema in early postoperative 8 eyes, giving symptomatic treatment were recovered after 1 d. No shallow anterior chamber, choroidal detachment and other serious complications. Conclusion Phacoemulsification with intraocular lens implantation has the advantages of exact effect, small incision, quick recovery of visual acuity, less inflammatory reaction and less postoperative complications. It is an effective treatment for angle-closure glaucoma with cataract.