三联手术治疗青光眼合并白内障的临床观察

Clinical Observation of the Triple Combination Operating on Glaucoma and Cataract

[目的]评价青光眼合并白内障行白内障现代囊外摘除、后房型人工晶状体植入联合小梁切除（简称三联手术）的远期，临床效果。[方法]对62例64眼青光眼合并白内障患者施行三联手术治疗。[结果]术后随访4～36个月，平均18个月。视力达0.02～0．2者9眼，占14，06％；0．3～0．4者29眼，占45.31％；≥0．5者26眼，占40．63％。术后眼压控制在正常范围≤21mmHg者56眼，占87．50％。8眼28mmHg左右，占12．50％。用噻吗心安滴眼剂或美开朗滴眼剂滴眼，眼压可控制正常。[结论]青光眼合并白内障三联手术远期效果良好。

[Objective]To evaluate the effect of trabeculectomy combined with extracapsular cataract extraction （ECCE） and intraocular lens implantation （triple surgeries） on the patients of coexisting glaucoma and cataract. [Methods]62 cases （64 eyes） of coexisting glaucoma and cataract treated by triple surgeries. [Results] Followed up between 4 and 36 months. The range of postoperative visual acuity was up to 0.02-0.2 in 9 eyes（14. 06%）, up to 0. 3-0.4 in 29 eyes（45.31%）. Postoperative visual acuity was 0.5 or better in 26 eyes（40. 63%）. The postoperative intraocular pressure in 56 eyes（87.50%）was in normal range（≤21mmHg）. The postoperative intraocular pressure in 8 eyes （12.5%） was about 28mmHg. And the postoperative intraocular pressure of these 8 eyes was controlled with Timolol or Mikelan. [Conclusions] The triple surgeries have definite effect on coexisting glaucoma and cataract patients.