摘要
目的:观察小切口白内障囊外摘除后房型人工晶体植入术合并小梁切除术或白内障超声乳化吸出后房型人工晶体植入术合并小梁切除术的临床疗效。方法:对76例(82眼)青光眼合并白内障患者施行小切口白内障囊外摘除后房型人工晶体植入术合并小梁切除术(以下简称小切口法)或白内障超声乳化吸出后房型人工晶体植入术合并小梁切除术(以下简称超声乳化法),术后随访1～6月。结果:术后视力:光感2眼(2.44%),手动5眼(6.10%),指数～0.05 9眼(10.97%)。0.06～0.219眼(23.17%),0.3～0.5 36眼(43.90%),0.5以上11眼(13.41%)。眼压:<10 mmHg 7眼(8.54%),10～21 mmHg 70眼(85.37%),22～30mmHg 5眼(6.09%),平均(14.52±3.21)mmHg。并发症:术后前葡萄膜炎、人工晶状体表面渗出膜、角膜水肿、低眼压浅前房。结论:青光眼白内障联合手术是既有效又经济的治疗方法,而早期诊断和及时治疗最为重要,在高眼压持续时间长或高眼压状态下行青光眼白内障联合术的疗效差,易发生并发症。
Objective：To evaluate the clinical effect of small-incision cataract extraction, posterior chamber lens （PC-IOL） implantation combined with trabeculectomy or phacoemulsification and posterior chamber lens （PC-IOL） implantation combined with trabeculectomy. Methods：76 cases （82 eyes） of glaucoma complicated with cataract were performed small incision ECCE and posterior chamber lens （PC-IOL） implantation combined with trabeculectomy or cataract phacoemulsification and posterior chamber lens （PC-IOL） implantation combined with trabeculectomy. All of the cases were followed up postoperatively for 1 to 6 months. Results： The postoperative visual acuity： photo nasty： two eyes （2. 44%）, hand movement： five eyes （6.10%）, index：〈0.05 in9 eyes （10.97%）, 0.06%0.2 in 19 eyes （8. 54%） was under l0 mmHg, 70 eyes （85.37%） between 10 to 21 mmHg, 5 eyes （6.09%） between 22 to 30 mmHg, the average was （14.52 ± 3.21） mmHg. Complications were anterior uveitis, posterior chamber lens surface seepage membrane, cornea edema and intraocular hypotension shallow of anterior chamber. Conclusion：Glaucoma combined with Cataract surgery was a cost-saving and effective method; It is important to diagnose and treat the disease timely. With a long time intraocular hypertension and under this condition the＇ surgery would have a bad curative effect, it may have lots of complications. Effectively control intraocular pressure and restore useful surgery.
出处
《中国临床医学》
北大核心
2007年第4期581-583,共3页
Chinese Journal of Clinical Medicine
