摘要
目的:观察透明角膜切口白内障超声乳化人工晶状体植入联合小梁切除术(以下简称超声乳化三联术)治疗青光眼合并白内障的临床疗效和安全性。方法:回顾性分析使用透明角膜切口超声乳化三联术治疗各种类型的青光眼合并白内障患者127例(128眼)手术前、后的视力和眼压,手术并发症和滤过泡情况。结果:术后视力迅速恢复,矫正视力较术前明显提高,随访6mo～2a,113眼≥0.5(88.3%);眼压较术前明显降低,11眼术后眼压<20mmHg,16眼加滴1～2种降压药后眼压控制满意且稳定。术后并发症少,功能性滤过泡83.6%。结论:透明角膜切口超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗青光眼合并白内障,不但能良好地控制眼压,迅速恢复视力。而且并发症少,手术适应证广,在白内障青光眼并存情况下采用超声乳化三联手术是安全、有效、可靠的治疗方法。
AIM： To evaluate the clinical effect and safety of clear corneal incision phacoemulsification and intraocular lens （IOL） implantation combined with trabeculectomy for the treatment of cataract and glaucoma. METHODS： A total of 127 cases （128 eyes） with glau-coma and cataract who underwent clear corneal incision phacoemulsification and IOL implantation combined with trabeculectomy in our hospital were retrospectively analyzed. Patients＇ visual acuity, intraocular pressure （IOP） before and after the operation were recorded as well as their surgical complication and filtering bleb condition. RESULTS： All patients＇ visual acuity were improved soon after the operation. During the follow-up of 6 months to 2 years, the corrected vision of 113 eyes was ≥ 0.5 （88.3%）. lOP was markedly reduced compared with that before the opera-tion, lOP of 112 eyes were lower than 20mmHg, while lOP of the left 16 eyes were controlled with one or two kinds of anti-hypertension medicine. There were few postopera-tive complications. 83.6% of cases got functional filtering blebs. CONCLUSION： The combined surgery of trabeculectomy and clear corneal incision phacoemulsification and IOL implantation is a safe and effective surgery for patients with cataract and glaucoma. This combined surgery can improve visual acuity and control lOP with few complications and good recovery.
出处
《国际眼科杂志》
CAS
2008年第1期151-152,共2页
International Eye Science
