晶状体摘除术治疗急性原发性闭角型青光眼的一项初步研究。
A pilot study of lens extraction in the management of acute primary angle-closure glaucoma.
作者信息
Ming Zhi Zhang, Lim Arthur S M, Yin Wong Tien
机构信息
Xiamen Eye Center, Xiamen, China.
出版信息
Am J Ophthalmol. 2003 Apr;135(4):534-6. doi: 10.1016/s0002-9394(02)02108-6.
PURPOSE
To describe a pilot study of lens extraction in the management of acute primary angle-closure glaucoma (APACG) in Chinese patients.
DESIGN
Interventional case series.
METHODS
A prospective case series of patients presented with APACG at a tertiary eye hospital in Xiamen, China. All the patients had intensive medical treatment followed by immediate phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia.
RESULTS
There were 18 patients who were seen with APACG who had phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia. There was a 9.0-mm Hg drop in mean preoperative and first day postoperative intraocular pressure (22.8 vs 13.8 mm Hg, P =.012) and a 10.2-mm Hg drop in mean preoperative and seventh-day postoperative intraocular pressure (22.8 vs 13.2 mm Hg, P =.002).
CONCLUSIONS
This pilot study indicates that phacoemulsification and posterior chamber intraocular lens implantation may be useful in the treatment of primary acute angle-closure glaucoma in Chinese patients. Further study with longer follow-up is needed.
目的
描述一项针对中国患者急性原发性闭角型青光眼（APACG）进行晶状体摘除术的试点研究。
设计
干预性病例系列。
方法
在中国厦门一家三级眼科医院对出现APACG的患者进行前瞻性病例系列研究。所有患者均接受强化药物治疗，随后在表面麻醉下立即进行超声乳化白内障吸除术和后房型人工晶状体植入术。
结果
18例APACG患者在表面麻醉下接受了超声乳化白内障吸除术和后房型人工晶状体植入术。术前平均眼压与术后第一天眼压下降了9.0 mmHg（22.8 vs 13.8 mmHg，P = 0.012），术前平均眼压与术后第七天眼压下降了10.2 mmHg（22.8 vs 13.2 mmHg，P = 0.002）。
结论
这项试点研究表明，超声乳化白内障吸除术和后房型人工晶状体植入术可能对治疗中国患者的原发性急性闭角型青光眼有用。需要进行更长时间随访的进一步研究。
Zotero 插件