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目的探讨和评估超声乳化白内障吸除联合后房型人工晶体植入术治疗原发性闭角型青光眼的临床疗效。方法对原发性闭角型青光眼患者68例,行超声乳化白内障吸除联合后房型人工晶体植入术,观察术前术后眼压情况,随访时间1-28个月。结果术后最佳矫正视力较术前明显提高(P<0.05),术后眼压较术前明显降低(2.01±0.61)kPa(P<0.05),术后中央前房深度较术前明显加深(2.497±0.141)mm(P<0.05)。结论超声乳化白内障吸除联合后房型人工晶体植入术可有效治疗合并白内障的原发性闭角型青光眼。
Objective To investigate and evaluate the clinical efficacy of phacoemulsification combined with posterior chamber intraocular lens implantation in the treatment of primary angle-closure glaucoma. Methods Sixty-eight patients with primary angle-closure glaucoma underwent phacoemulsification and posterior chamber intraocular lens implantation. The intraocular pressure (IOP) before and after operation was observed and the follow-up time was 1-28 months. Results The postoperative best corrected visual acuity was significantly higher than that before operation (P <0.05). The postoperative intraocular pressure was significantly lower (2.01 ± 0.61) kPa (P <0.05), and the postoperative central anterior chamber depth was significantly higher than that before operation (2.497 ± 0.141) mm (P <0.05). Conclusion Phacoemulsification combined with posterior chamber intraocular lens implantation can effectively treat primary angle-closure glaucoma with cataract.