【摘要】：本文通過分析超聲乳化白內(nèi)障摘除聯(lián)合人工晶體植入術聯(lián)合鞏膜咬切術治療急性閉角型青光眼合并白內(nèi)障，觀察術后角膜散光、裸眼視力、矯正視力、眼壓變化。 本研究對象為吉林大學第二醫(yī)院眼科醫(yī)院白內(nèi)障科急性閉角型青光眼合并白內(nèi)障的患者28例30眼。記錄患者術前、術后7天、1個月、3個月術眼散光（Astigmatism）、裸眼視力、矯正視力（Corrected visual acuity）、眼壓（Intraocular pressure）變化等情況。 通過術后隨訪，，術后7天檢測術眼散光度數(shù)增大，術后1個月拆除鞏膜切口縫線后散光度明顯降低，術后3個月散光趨于術前散光水平；術后裸眼視力及矯正視力較術前提高，術后1個月拆除鞏膜切口縫線后裸眼視力及矯正視力明顯提高，術后3個月裸眼視力及矯正視力基本穩(wěn)定，可達最佳；患者術后7天、1個月、3個月眼壓控制穩(wěn)定。 本研究結果表明，超聲乳化白內(nèi)障摘除聯(lián)合人工晶體植入術聯(lián)合鞏膜咬切術是治療急性閉角型青光眼合并白內(nèi)障的有效方法。
[Abstract]:The changes of corneal astigmatism, uncorrected visual acuity, corrected visual acuity and intraocular pressure were observed after phacoemulsification and intraocular lens implantation combined with scleral bite in the treatment of acute angle-closure glaucoma with cataract. The subjects were 28 cases (30 eyes) of acute angle closure glaucoma complicated with cataract in Department of Cataract, second Hospital of Jilin University. The uncorrected visual acuity (Astigmatism),) and corrected visual acuity (Corrected visual acuity),) intraocular pressure (Intraocular pressure) of astigmatism were recorded 7 days, 1 month and 3 months before operation and 7 days, 1 month and 3 months after operation respectively. After 7 days follow-up, the astigmatism of the eyes increased, the astigmatism decreased significantly after the scleral incision seams were removed, the astigmatism tended to the preoperative astigmatism level 3 months after operation, the uncorrected visual acuity and corrected visual acuity were improved. The uncorrected visual acuity and corrected visual acuity were improved 1 month after the scleral incision was removed, the uncorrected visual acuity and corrected visual acuity were stable at 3 months after operation, and the intraocular pressure was stable at 7 days, 1 month and 3 months after operation. The results showed that phacoemulsification combined with intraocular lens implantation combined with scleral bite was an effective method for the treatment of acute angle-closure glaucoma with cataract.
【學位授予單位】：吉林大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R779.6

【參考文獻】

相關期刊論文 前10條

1 王海梅;;超聲乳化及青光眼白內(nèi)障聯(lián)合手術治療合并白內(nèi)障的閉角型青光眼療效對比[J];河北醫(yī)學;2011年04期

2 王賢霞;陳裕慶;;隧道式小切口在青光眼白內(nèi)障聯(lián)合手術中的應用[J];實用防盲技術;2010年03期

3 鐘敬祥,邵東平,劉斐,朱春玲,楊曉然,李敏超;超聲乳化術角膜切口對角膜屈光的影響[J];眼科新進展;2004年06期

4 陳慧怡,葛堅,劉杏,盧鳳荷;260例青光眼白內(nèi)障聯(lián)合手術臨床分析[J];眼科學報;2000年02期

5 張同海;臨床青光眼手術方式選擇[J];眼外傷職業(yè)眼病雜志(附眼科手術);1997年01期

6 余青松,胡超雄;小切口非乳化白內(nèi)障青光眼聯(lián)合手術療效觀察[J];眼外傷職業(yè)眼病雜志.附眼科手術;2005年01期

7 王守麗;;原發(fā)性閉角型青光眼合并白內(nèi)障術式的探討[J];眼外傷職業(yè)眼病雜志(附眼科手術);2007年03期

8 王宇冉;;青光眼合并白內(nèi)障的手術選擇[J];眼外傷職業(yè)眼病雜志(附眼科手術);2007年08期

9 邢小麗;季健;袁佳琴;;晶狀體超聲乳化聯(lián)合小梁切除術治療青光眼合并白內(nèi)障臨床觀察[J];眼外傷職業(yè)眼病雜志(附眼科手術);2008年04期

10 董敬民;;鞏膜瓣下隧道式小切口青光眼白內(nèi)障聯(lián)合手術的臨床研究[J];眼外傷職業(yè)眼病雜志(附眼科手術);2008年06期

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