Moghimi Sasan, Lin Shan
University of California, Los Angeles Medical School, Los Angeles, CA , USA.
Eye Sci. 2011 Sep;26(3):121-31. doi: 10.3969/j.issn.1000-4432.2011.03.001.
Cataract or clear Lens extraction has been suggested as a treatment option for different spectrums of primary angle closure diseases. It might reduce the risk of progression of angle closure and/or glaucoma by helping to open the angle and control the intraocular pressure (IOP). Conventionally, medically uncontrolled primary angle closure glaucoma was treated with trabeculectomy or phacotrabeculectomy and acute primary angle closure was treated with laser peripheral iridotomy. However, recent randomized controlled trials have demonstrated greater promise of phacoemulsification cataract surgery alone for control of the IOP. In this report we review the current literature to evaluate the impact of cataract surgery upon preventing and controlling primary angle closure diseases.
白内障或透明晶状体摘除术已被提议作为不同类型原发性闭角型疾病的一种治疗选择。它可能通过帮助开放房角和控制眼压（IOP）来降低闭角型青光眼进展和/或青光眼的风险。传统上，药物治疗无法控制的原发性闭角型青光眼采用小梁切除术或晶状体小梁切除术治疗，急性原发性闭角型青光眼采用激光周边虹膜切开术治疗。然而，最近的随机对照试验表明，单纯超声乳化白内障手术在控制眼压方面更具前景。在本报告中，我们回顾了当前的文献，以评估白内障手术对预防和控制原发性闭角型疾病的影响。
