青光眼合并白内障患者经不同手术方式治疗的临床效果比较

Comparison of clinical effects of different surgical methods in the treatment of glaucoma complicated with cataract

目的:比较青光眼合并白内障患者经不同手术方式治疗的临床效果.方法:回顾性分析2014年1月~2015年5月我院青光眼合并白内障患者78例,根据分段随机化法,分为2组,术A组(39例,40只眼)行白内障小切口摘除+人工晶状体植入术+小梁切除术;术B组(39例,40只眼)行白内障超声乳化+人工晶状体植入术+小梁切除术.就两组患者视力水平、眼压水平和手术并发症发生率进行比较.结果:B组术后前房炎性反应发生率明显低于术A组;两组其他手术并发症发生率相似.两组患者术后视力水平、眼压水平均明显改善,显著优于术前.但两组术后视力水平、眼压水平差异不显著.结论:青光眼合并白内障患者经白内障小切口摘除+人工晶状体植入术+小梁切除术或白内障超声乳化+人工晶状体植入术+小梁切除术治疗均有确切的效果,可显著改善视力和眼压,但后者可减少前房炎性反应的发生,更值得推广.

Objective To study the clinical effect of different surgical methods in the treatment of glaucoma complicated with cataract.Methods 78 cases of glaucoma complicated with cataract were retrospectively analyzed in our hospital from May 2015 to January 2014.The patients were divided into 2 groups according to the subsection randomization method.The group of 39 cases(cases,40 eyes)and group A(39 cases,40 eyes)were divided into groups.A group underwent small incision cataract extraction and intraocular lens implantation and trabeculectomy;B group underwent phacoemulsification and intraocular lens implantation and trabeculectomy.The visual acuity,intraocular pressure and the incidence of operative complications were compared between the two groups.Results The incidence of postoperative anterior chamber inflammation was significantly lower in group B than in group A.The incidence of other complications was similar in the two groups.The postoperative visual acuity and intraocular pressure were significantly improved in the two groups,which was significantly better than that before the operation.But the two groups of postoperative visual acuity,intraocular pressure levels were not significantly different.Conclusion Glaucoma combined with cataract extraction and intraocular lens implantation with small incision and intraocular lens implantation and trabeculectomy or phacoemulsification and intraocular lens implantation and trabeculectomy for the treatment of glaucoma with cataract.