[Rational application of lens extraction for primary angle-closure glaucoma]

Primary angle-closure glaucoma (PACG) is the most common type of glaucoma in China. In recent years, lens extraction has gradually become one of the main means of PACG treatment. However, there are still some problems in specific applications. In this article, we analyze the problems and misunderstandings in lens extraction for treatment of PACG in China at present, hoping to achieve reasonable application and better serve patients with glaucoma.原发性闭角型青光眼（PACG）是我国最常见的青光眼类型。近年来晶状体摘除手术已逐渐成为PACG的治疗方法之一。本文针对现阶段我国晶状体摘除手术在PACG治疗中存在的问题及误区，提出应根据房角关闭的不同机制合理选择治疗方法，正确看待透明晶状体摘除术在PACG治疗中的作用，注意我国与西方国家医疗体系的差异以及联合房角分离术或滤过性手术的效果，以期指导临床合理应用晶状体摘除手术治疗PACG，达到为青光眼患者提供优质服务的目的。（中华眼科杂志，