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目的探讨白内障超声乳化手术治疗原发性急性闭角型青光眼的临床疗效.方法对33例(35只眼)确诊为原发性急性闭角型青光眼的患者行白内障超声乳化手术治疗,分别评估术前、术后1周及1个月患者的最佳矫正视力、眼压、前房深度及前房角宽度.结果术后所有病例视力较术前均有不同程度的改善;前房深度较术前明显加深;眼压明显低于术前眼压(均P<0.01),具有统计学意义;前房角镜检查提示:术后房角均较术前不同程度的开放.结论超声乳化手术治疗合并有白内障的原发性急性闭角型青光眼是一种有效可行的方法.
Objective To investigate the clinical efficacy of phacoemulsification for primary acute angle-closure glaucoma.Methods 33 cases (35 eyes) diagnosed as primary acute angle-closure glaucoma underwent cataract phacoemulsification, The best corrected visual acuity, intraocular pressure, anterior chamber depth and anterior chamber angle width were measured before and 1 week and 1 month after operation.Results The visual acuity in all cases after operation was improved to some extent compared with that before operation.The anterior chamber depth was (P <0.01), which were statistically significant.Grichotomoscopy suggested that postoperative auricular angle was different from preoperational degree.Conclusion Phacoemulsification surgery Primary acute angle-closure glaucoma with cataract is an effective and feasible method.