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[青光眼患者白内障摘除术后晶状体厚度与眼压之间相关性的评估]

[Evaluation of the dependence between the lens thickness and intraocular pressure after cataract extraction in patient with glaucoma].

作者信息

Katski Wojciech, Toczołowski Jerzy, Klonowski Paweł

机构信息

II Kliniki Okulistyki Akademii Medycznej w Lublinie.

出版信息

Klin Oczna. 2003;105(1-2):46-8.

Abstract

PURPOSE

The main purpose of the study is the evaluation of the dependence between lens thickness in eyes with cataract and glaucoma and the intraocular pressure after cataract extraction with posterior chamber lens implantation.

MATERIAL AND METHODS

138 eyes with cataract and glaucoma were examined. Patients were divided into three groups according to the type of glaucoma: I open angle glaucoma II closed angle glaucoma III glaucoma with pseudoexfoliation syndrome All patients received preoperatively drugs reducing intraocular hypertension. The intraocular pressure was measured on operation day and on the first and fifth day after. The subsequent measurements were carried out one month, 3 months and nine months postoperatively. Lens thickness measurement was conducted with ultrasonography one day before operation.

RESULTS

The dependence between lens thickness and intraocular pressure normalization (p < 0.005) has been found on the basis of statistical research with t-Student test in the closed angle glaucoma group with the greatest preoperative lens thickness.

CONCLUSIONS

The statistically proven dependence between preoperative lens thickness and postoperative intraocular pressure reduction in patients with the closed angle glaucoma, has been found on the basis of conducted research.

摘要

目的

本研究的主要目的是评估白内障合并青光眼患者的晶状体厚度与白内障摘除联合后房型人工晶状体植入术后眼压之间的相关性。

材料与方法

对138例白内障合并青光眼患者进行检查。根据青光眼类型将患者分为三组:I型开角型青光眼;II型闭角型青光眼;III型假性剥脱综合征青光眼。所有患者术前均接受降低眼压的药物治疗。在手术当天、术后第一天和第五天测量眼压。随后在术后1个月、3个月和9个月进行测量。术前一天用超声检查测量晶状体厚度。

结果

在术前晶状体厚度最大的闭角型青光眼组中,通过t检验进行统计研究发现晶状体厚度与眼压正常化之间存在相关性(p < 0.005)。

结论

根据所进行的研究,已发现闭角型青光眼患者术前晶状体厚度与术后眼压降低之间存在统计学上证实的相关性。

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