| 代红兵，李国生.小切口晶状体囊外摘除术对急性闭角型青光眼的疗效观察.[J].中南医学科学杂志.,2011,39(1):94-97. |
| 小切口晶状体囊外摘除术对急性闭角型青光眼的疗效观察 |
| Small Incision Without Lens Capsule for Acute Angle-closure Glaucoma Outside the Curative Effects |
| 投稿时间：2010-11-16 |
| DOI： |
| 中文关键词: 小切口白内障囊外摘除术 超声乳化白内障吸除术 晶体 人工 闭角型青光眼 |
| 英文关键词:small incision extra capsular cataract extraction surgery phacoemulsification lens implantation intraocular glaucoma angle-closure |
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| 中文摘要: |
| 目的观察小切口白内障囊外摘除人工晶体植入术和超声乳化白内障吸除人工晶体植入术对合并白内障的急性闭角型青光眼的临床疗效的对比。方法分析48例（48眼）合并白内障的急性闭角型青光眼患者，其中25眼行小切口白内障囊外摘除人工晶体植入术（小切口摘除组），23眼行超声乳化白内障吸除人工晶体植入术（超声乳化组），观察患者术后视力、眼压、房角及主要并发症等情况。随访时间6个月以上。结果小切口白内障囊外摘除人工晶体植入术组后一月平均眼压（12.75±4.05 mmHg）较术前（32.70±5.55 mmHg）明显下降，与超声乳化白内障吸除人工晶体植入手术比较差异无显著性（t=1.49，P>0.05）。两组患者术后最佳矫正视力均有显著提高，房角增宽，周边虹膜前粘连范围变小。结论小切口白内障囊外摘除术和超声乳化白内障吸除术一样既可提高视力，又可控制眼压，同样能有效治疗合并白内障的闭角型青光眼。 |
| 英文摘要: |
| ObjectiveTo observe the small incision extracapsular cataract extraction and intraocular lens implantation,and phacoemulsification and intraocular lens implantation in addition to the cataract acute angle-closure glaucoma contrast.Methods48 patients (48 eyes) of cataract patients with acute angle-closure glaucoma were analyzed,in which 25 were conducted with small incision extracapsular cataract extraction and intraocular lens implantation,23 eyes underwent phacoemulsification and intraocular lens implantation and the postoperative visual acuity,intraocular pressure,angle,and major complications and so on were observed.It was followed up for 6 months.In the small incision extracapsular cataract extraction and intraocular lens implantation group the average IOP （12.75±4.05 mmHg）one month later,compared with the preoperative （32.70±5.55 mmHg） decreased significantly,and compared with phacoemulsification and intraocular lens implantation there was no significant difference (t=1.49，P<0.05).The two methods corrected visual acuity significantly,and the angle widened,the scope of peripheral anterior synechia became smaller.ConclusionSmall incision extracapsular cataract extraction and phacoemulsification surgery in addition,like surgery can improve vision,and control the IOP,which can be effective in treating cataract angle-closure glaucoma. |
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