改良青光眼合并白内障的联合术式临床分析

Analysis of improved surgical procedures in surgery on the cataract patients with glaucoma

目的探讨改良白内障超声乳化人工晶体植入联合隧道内小梁切除术、手法小切口白内障摘除人工晶体植入联合隧道内小梁切除术,治疗原发性闭角型青光眼合并白内障的两种术式效果。方法原发性闭角型青光眼合并白内障共62例,分为甲乙两组。甲组37例,采用手法小切口白内障摘除后房型人工晶体植入联合隧道内小梁切除术。乙组25例,采用白内障超声乳化后房型人工晶体植入联合隧道内小梁切除术。两种术式均不做巩膜瓣及虹膜周切孔。结果术后随访12个月,视力(0.3占72.95%,眼压62只眼(18.2±1.76mmHg。结论两种术式在术后眼压控制、视力改善、并发症方面均无明显差异。

Objective To compare the effects of outside - capsule extirpation of cataract and intraocular lens implantation combined with trabeculectomy and cataract extraction with phacoemulsification and intraocular lens implantation combined with trabeculectomy in surgery on the cataract patients with glaucoma. Methods There are 62 cataract patients with glaucoma. Extracapsular extraction with intraocular lens implantation （IOL） was performed on 37cases （ A group）. Phacoemulsification also with IOL was performed on 25 cases （ B group）. Results 12 months after the surgery vision was improved to 0.3 or better in eyes （72.95%）, 62 eyes＇ intraocular pressure less than 19.16 mmhg. Conclusion The two surgical procedures have the same effect in depressing intraocular pressure, reducing the scarring formation at filtering blebs and elevates the success rate of filtration surgery.