摘要
目的 :观察小切口白内障囊外摘除及人工晶状体植入术联合巩膜隧道内小梁切除术的临床效果。方法 :采用小切口白内障囊外摘除及人工晶状体植入联合巩膜隧道内小梁切除术治疗 5 4例 (5 8只眼 )青光眼合并白内障患者 ,术后观察视力、眼压、滤过泡形态、手术并发症等。随访 3～ 18个月 ,平均 11 7个月。结果 :出院时 5 4只眼 (93 1% )视力不同程度提高 ,4只眼 (6 9% )由于青光眼性视神经萎缩术后视力差。 5 8只眼眼压全部在 5～ 2 1mmHg之间 ,其中 3只眼需局部滴用降眼压药物。随访 4 5只眼 (77 6 % ) ,形成功能型滤过泡。术后早期并发症有角膜水肿、色素膜炎症反应、前房少量出血等。后期主要有人工晶状体位置偏移、眼压升高等。结论 :该术式是目前治疗青光眼合并白内障患者经济有效、较为理想实用的术式。
Objective:To evaluate the effect of extracapsular cataract extraction with microincision,intraocular lens implantation(IOL)and trabeculectomy in glaucoma patients with cataract.Methods:54 cases (58 eyes)of glaucoma with cataract were treated with microincision IOL and trabeculectomy.Postoperatively,patients′vision,IOP,filtering bleb and complications were observed at 3～18 months follow-up period.Result:The visions of 54 eyes (93.1%)were improved.The IOP of all cases were normal (5～21mmHg) with 3 eyes using antiglaucoma medication.During the follow-up period,the filtering blebs of 45 eyes (77.6%) were well formed.The early postoperative complications were corneal edema,inflammatory reaction of uveal tract and hyphema.The late postoperative complications were intraocular lens displacement,elevation of intraocular pressure.Conclusion This combined operation is economic and useful for glaucoma patients with cataract.
出处
《眼科》
CAS
2004年第2期83-84,共2页
Ophthalmology in China
