摘要
目的:分析白内障超声乳化吸出、人工晶状体植入联合小梁切除术治疗白内障合并青光眼的疗效。方法:对白内障合并青光眼的116例(125眼)患者,施行白内障超声乳化吸出、人工晶状体植入联合小梁切除术。结果:术后随访5～26(平均12.6)mo。125眼(100.0%)术后矫正视力均有不同程度的提高,其中0.2～0.4者42眼(33.6%),0.5～0.8者43眼(34.4%),1.0～1.5者21眼(16.8%)。术后眼压正常者119眼(95.2%),6眼(4.8%)需局部应用一种降眼压药物,才能正常,总有效率100.0%。术中7眼(5.6%)出现后囊膜破裂,22眼(17.6%)术后2d内出现轻度前房出血。结论:白内障超声乳化吸出、人工晶状体植入联合小梁切除术治疗白内障合并青光眼,视力恢复快,降压效果好,并发症少,效果显著。
AIM：To study the effect of combined phacoemulsification intraocular lens implantation and trabeculectomy in glaucoma and cataract patients. METHODS：A total of 125 eyes in 116 patients with co-existing glaucoma and cataract underwent the combined phacoemulsification,intraocular lens implantation and trabeculectomy. RESULTS：After a follow-up period of 5-26 months（means 12.6 months） ,the visual acuity（VA） of 125 eyes（100.0%） was improved.42 eyes（33.6%） of them got the vision of 0.2 to 0.4;43 eyes（34.4%） got the vision of 0.5 to 0.8;21 eyes（16.8%） got the vision of 1.0 to 1.5.The intraocular pressure（IOP） of 119 eyes（95.2%） were normal without using anti-glaucoma medicine,while the IOP of 6 eyes（4.8%） became normal when topically applied anti-glaucoma medicine.Posterior capsular rupture occurred in 7 eyes（5.6%）,and slight hyphema in anterior chamber occurred in 22 eyes（17.6%） at 2 days postoperatively. CONCLUSION：Combined procedures have features of rapid visual acuity restoration,better effect of IOP declining and fewer complications.
出处
《国际眼科杂志》
CAS
2007年第5期1481-1482,共2页
International Eye Science
关键词
白内障合并青光眼
超声乳化
人工晶状体
小梁切除术
cataract combined with glaucoma
phacoemulsification
intraocular lens
trabeculectomy
