Li Bo, Wang Feng-Yun, Lv Tai-Liang, Zhu Yu
Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China; Department of Ophthalmology, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science Technology, Luoyang, Henan 471003, P.R. China.
Department of Ophthalmology, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science Technology, Luoyang, Henan 471003, P.R. China.
Exp Ther Med. 2016 Oct;12(4):2501-2504. doi: 10.3892/etm.2016.3634. Epub 2016 Aug 30.
The aim of the present study was to examine the effects of phacoemulsification and intraocular lens implantation combined with ciliarotomy in the treatment of angle-closure glaucoma with cataract in the elderly. A total of 68 patients were consecutively selected and divided into the control group with 33 cases (48 eyes) and the observation group with 35 cases (53 eyes). Cataract surgery combined with trabeculectomy was performed on the patients in the control group and phacoemulsification cataract extraction combined with ciliarotomy was performed on the subjects in the observation group, to compare postoperative effects and complications. Following surgery, the visual acuity of patients in the two groups significantly improved, intraocular pressure decreased, and improvement of the observation group was more evident (P<0.05). Following surgery, the depth of central anterior chamber and width of chamber angle of patients in two groups was increased, and improvement of the observation group was significantly more evident (P<0.05). Additionally, the incidence of complications, including corneal swelling, shallow of anterior chamber, fibrinous exudate in iris, and filtering bleb leaking and following cataract removal, of patients in the observation group was significantly reduced compared to the control group (P<0.05). In summary, the results of the present study show that, phacoemulsification and intraocular lens implantation combined with ciliarotomy in the treatment of angle-closure glaucoma with cataract in the elderly is a safe and effective method and should be applied in the clinic.
本研究的目的是探讨超声乳化白内障吸除联合人工晶状体植入术并联合睫状体切开术治疗老年闭角型青光眼合并白内障的效果。连续选取68例患者，分为对照组33例（48眼）和观察组35例（53眼）。对照组患者行白内障手术联合小梁切除术，观察组患者行超声乳化白内障吸除联合睫状体切开术，比较术后效果及并发症。术后，两组患者视力均显著提高，眼压降低，且观察组改善更明显（P<0.05）。术后，两组患者中央前房深度及房角宽度均增加，且观察组改善明显更显著（P<0.05）。此外，观察组患者术后并发症发生率，包括角膜水肿、前房变浅、虹膜纤维素渗出、滤过泡渗漏及白内障摘除后并发症等，与对照组相比显著降低（P<0.05）。综上所述，本研究结果表明，超声乳化白内障吸除联合人工晶状体植入术并联合睫状体切开术治疗老年闭角型青光眼合并白内障是一种安全有效的方法，应在临床中应用。
