超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼的疗效分析

Curative effect analysis of phacoemulsification and intraocular lens im-plantation combined with trabeculectomy on catarct united glaucoma

目的探讨超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼的疗效。方法选择80例白内障合并青光眼患者,随机分为观察组和对照组。对照组患者予以超声乳化白内障吸除人工晶体植入术,观察组患者在此治疗的基础上予以联合小梁切除术治疗。观察并记录两组患者的治疗效果及术后并发症发生情况。结果术后1个月,两组患者的视力、中央房前深度均较术前明显增加(P<0.05或P<0.01),而眼压较术前明显降低,且观察组患者的改善幅度明显优于对照组(P<0.05);观察组患者的手术并发症发生率明显低于对照组(χ2=4.11,P<0.05)。结论采用超声乳化白内障吸除人工晶体植入术联合小梁切除术治疗白内障合并青光眼能有效提高视力、降低眼内压、增加中央房前深度,疗效确切,同时手术并发症少,安全性佳,是一种安全有效的手术方式。

Objective To discuss curative effect of phacoemulsification and intraocular lens implantation combined with trabeculectomy on catarct united glaucoma. Methods Eighty cases of patients with catarct united glaucoma were se-lected, and divided into observation group and control group at random. The patients in control group were given ha-coemulsification and intraocular lens implantation, while the patients in observation group were additionally given com-bined trabeculectomy, and curative effect and postoperative occurrences of complication of patients in two groups were observed. Results After one-month operation, vision and central front depth of patients in two groups were rose than before （P〈0.05 or P〈0.01）, while the intra-ocular tension were declined than before, and the improvement rates of pa-tients in observation group were much higher than those in control group （P〈0.05）. The occurrence rate of operative complication of patients in observation group was much lower than that in control group（χ2=4.11, P〈0.05）. Conclusion The application of phacoemulsification and intraocular lens implantation combined with trabeculectomy on catarct unit-ed glaucoma can effectively increase the vision, decrease intra-ocular pressure and raise central front depth with reli-able curative effect, few occurrences of complication and high security, which is a safe and effective method of opera-tion.