摘要
目的 观察5.5～6.0mm小切口非超声乳化白内障摘出、人工晶状体植入和小梁切除联合手术(以下简称联合手术)治疗白内障合并青光眼的效果。方法 共进行此联合手术30例(36眼),术后随访3～36月,平均19.5月。结果 术后平均眼压(15.38±3.78)mmHg较术前降低20.84mmHg(1mmHg=0.133kPa),差异具有非常显著性(P<0.001);术后1周和3～36月视力≥0.5者分别为27眼(75%)和30眼(83.3%);术后1周平均散光为(1.25±0.75)D,较术前增加0.25D,术后3～36月平均散光(1.15±0.70)D,与术前比较差异均无显著性(P>0.05);Ⅰ、Ⅱ型功能滤过泡26眼(72.2%),Ⅲ型滤泡10眼(27.8%)。结论 此种联合手术具有术后视力恢复快、散光小、眼压控制好及并发症少等理想效果。
Objective To evaluate the effectiveness of a 5.5 ~ 6.0 mm small-incision triple procedure, including cataract extraction by non-phacoemul-sification, posterior chamber intraocular lens implantation and trabeculec-tomy in patients with coexisting cataract and glaucoma. Methods The triple procedure was performed on 36 eyes of 30 patients with cataract and glaucoma through a small-incision by non-phacoemulsifieation.The postoperative follow-up was 3 to 36 months, the mean was 19.5 months. Results Decreased by 20.84 mmHg, the mean postoperative intraocular pressure was (15.38±3.78)mmHg(1 mmHg = 0.133 kPa)with an apparent difference from that before operation ( P < 0.001 ) Postoperatively,the visual acuities were≥0.5 in 27 eyes (75.0%) at one week and in 30 eyes (83.3%) during 3-36 months.The mean astigmatism was (1.25 ±0.75) D one week afgter operation, increased by 0.25D compared with that before operation.The mean postoperative astigmatism at 3-36 months (1.15± 0.75) D was not distinctly different from the preoperative one ( P > 0.05). By Kronfeld' s classification, the functional filtering blebs of type ⅠandⅡ were 26 eyes (72.2%) and type Ⅲwas 10 eyes (27.8%) .Conclusion It is effective to treat the patients with coexisting cataract and glaucoma through small-incision non-phacoemulsi fication triple procedure, with the postoperative visual acuity quickly restored,the astigmatism being low enough,the intraocular pressure well- controlled and postoperative complications was less.
出处
《眼外伤职业眼病杂志》
北大核心
2003年第4期252-253,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
