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超声乳化联合房角分离术治疗急性闭角型青光眼持续高眼压的临床观察

Dong-jian ZHENG,Na LIANG,Sheng-sheng MA,Yong-gang YUAN,Zhi-xiang XIE

LINGNAN JOURNAL OF EMERGENCY MEDICINE（2011）

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Abstract
目的:探讨急性闭角型青光眼(ACG)在持续高眼压状态下行白内障超声乳化吸出联合房角分离术(Phaco-GSL)的临床疗效.方法:对40例40眼持续高眼压状态下的急性ACG患者行Phaco-GSL,术后随访6-24月,观察术后眼压、前房、视力的变化.结果:术前平均眼压(58.36±18.25) mmHg,术后7天降至(13.65±7.22)mmHg(P＜0.05);中央前房深度由术前(1.66±0.41) mm增加到术后(3.12±0.18) mm(P＜0.05);术后最佳矫正视力较术前明显改善.结论:急性ACG持续高眼压状态下行Phaco-GSL可安全、有效地控制眼压并提高视力.
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