超声乳化人工晶状体植入联合青光眼小梁切除的临床观察

Phacoemulsification and intraocular lens implantation combined with trabeculectomy for cataract and angle-closure glaucoma.

目的探讨闭角型青光眼合并白内障行超声乳化人工晶状体植入联合小梁切除术的临床效果。方法对62例闭角型青光眼合并白内障行白内障超声乳化人工晶状体植入联合小梁切除术,观察术后视力、眼压、眼底改变。随访时间为术后12月。结果术后视力、眼压、房角均较术前改善。并发症包括:术后一过性浅前房、角膜水肿、后发障。结论白内障超声乳化人工晶状体植入联合小梁切除术是治疗闭角型青光眼合并白内障的有效方法。

Objective To investigate the effectiveness of phacoemulsification and intraccular lens implantation combined with trabeculectomy for cataract and angle - closure glaucoma. Methods 62 patients （46 - 85 years old） with cataract and angle - closure glaucoma were treated with phacoemulsification, intraocular lens implantation and trabeulectomy, the changes in vision,intraocular pressure, anterior chamber angle and ocular fundns after operation were evaluated. Results At follow - up of months 6 and months 12, vision, intraocular pressure and anterior chamber angle significantly improved. Complicaions included temporary shallow anterior chamber,corneal edema and posterior lens capsule opacity. Conclusion Phacoemulsification and intraocular lens implantation combined with trabeculectomy are effective and safe for patients with cataract and angle - closure glacoma with few complications and good visual outcome.