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目的比较不同手术方法治疗急性闭角型青光眼(ACG)合并白内障的临床效果。方法选取医院收治的急性ACG合并白内障患者43例(64眼)为研究对象,随机分为2组。A组22例(34眼)实施超声乳化+人工晶状体植入术治疗,B组21例(30眼)实施小梁切除术治疗,对比2组临床效果。结果 A组术后最佳矫正视力(0.25±0.19)Log MAR,优于B组的(0.43±0.15)Log MAR;房角粘连度数(51.34±28.78)°,低于B组的(90.45±27.36)°(P<0.05);并发症发生率2.94%,低于B组的16.67%(P<0.05)。2组术后眼压、前房深度、房角开放距离比较差异均无统计学意义(P>0.05)。结论超声乳化+人工晶状体植入术在防止房角粘连、提高视力、减少并发症方面效果优于小梁切除术。
Objective To compare the clinical effects of different surgical methods in the treatment of acute angle-closure glaucoma (ACG) combined with cataract. Methods Forty-three patients (64 eyes) with acute ACG and cataract who were admitted to hospital were selected as study subjects and randomly divided into two groups. In group A, 22 cases (34 eyes) underwent phacoemulsification and intraocular lens implantation. In group B, 21 cases (30 eyes) underwent trabeculectomy, and the clinical effects were compared between the two groups. Results The best corrected visual acuity (0.25 ± 0.19) Log MAR in group A was better than that in group B (0.43 ± 0.15) Log MAR; the angle of the angle was 51.34 ± 28.78 °, lower than that in group B (90.45 ± 27.36 ) ° (P <0.05). The incidence of complications was 2.94%, which was lower than that of group B (16.67%, P <0.05). There was no significant difference in postoperative IOP, depth of anterior chamber, and angle of open angle between two groups (P> 0.05). Conclusion Phacoemulsification and intraocular lens implantation is superior to trabeculectomy in preventing corner adhesion, improving visual acuity and reducing complications.