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| 1 | Angle parameter changes of phacoemulsification and combined phacotrabeculectomy for acute primary angle closure显示文摘·AIM: To evaluate the difference in angle parameters and clinical outcome following phacoemulsification and combined phacotrabeculectomy in patients with acute primary angle closure(APAC) using ultrasound biomicroscopy(UBM).·METHODS: Patients(n =23, 31 eyes) were randomized to receive phacoemulsification or combined phacotrabeculectomy(n =24, 31 eyes). Best-corrected visual acuity(BCVA), intraocular pressure(IOP), the main complications following surgery, and indentation gonioscopy and angle parameters measured using UBM were documented preoperatively and postoperatively.· RESULTS: The improvement in BCVA in the phacoemulsification group was significantly greater than in the combined group(P <0.05). IOP in the phacoemulsification group was slightly higher than in the combined group following 1wk of follow-up(P <0.05),whereas there was no significant difference between the two groups at the latter follow-up(P >0.05).Phacoemulsification alone resulted in a slight increase in the trabecular ciliary processes distance compared with the combined surgery(P <0.05), whereas the other angle parameters showed no significant difference between the groups. Complications in combined group were greater than phacoemulsification only group.·CONCLUSION: Both surgeries effectively opened the drainage angle and deepened the anterior chamber, and IOP was well controlled postoperatively. However,phacoemulsification showed better efficacy in improving visual function and showed reduced complications following surgery. | Shi-Wei Li Yan Chen Qiang Wu Bin Lu Wen-Qing Wang Jian Fang | 2015 | International Journal of Ophthalmology(English edition)2015，8，4： | 2 |
| 2 | 前房穿刺联合超声乳化白内障摘除治疗急性闭角型青光眼的临床疗效显示文摘目的:探讨前房穿刺结合超声乳化白内障摘除+人工晶体植入术治疗急性闭角型青光眼的效果。方法:2011年1月-2013年12月收治急性闭角型青光眼患者20例(20眼),在经保守降压治疗的情况下眼压仍>40 mm Hg,即在前房穿刺降低眼压直至正常后4 d行超声乳化白内障摘除术并同时置入人工晶体。结果:术前眼压>40 mm Hg,术后3个月内眼压10~20 mm Hg 15眼,20~30 mm Hg 5眼;用卡替洛尔滴眼液控制眼压,其中2眼在使用局部降眼压药物后眼压依旧不能控制在<20 mm Hg;在术后3个月行巩膜瓣下小梁切除术,随访3个月眼压控制在<20 mm Hg。以上病例在随访期眼压全部控制在20 mm Hg。术前视力:光感10眼(50%),光感-手动4眼(20%),手动-0.15有6眼(30%);术后视力:<0.1有2眼(10%),0.1~0.3有5眼(22.5%),0.3~0.5有6眼(30%),>0.5有7眼(35%)。结论:前房穿刺联合超声乳化白内障摘除+人工晶体置入术能在较好控制眼压的同时显著改善患者的视功能。 | 王旭辉 周建强 谢秀雯 | 2014 | 中国社区医师(医学专业)2014，16，26： | 1 |
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