小切口非超声乳化青光眼白内障联合手术疗效观察

Investigation of small incision non-phacoemulsification cataract extraction combined with trabeculectomy

目的:探讨小切口非超声乳化白内障摘出人工晶状体植入联合小梁切除术治疗青光眼并发白内障的疗效。方法:回顾分析32例32眼行小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗慢性闭角型青光眼并发白内障患者的临床资料。结果:术后随访6～9(平均7.3)mo,患者术后最佳矫正视力≥0.3者27眼(84%),术后所有患者眼压控制正常,平均13.50±5.30mmHg,功能性滤泡者28眼(88%),术中术后均无严重并发症。结论:小切口非超声乳化白内障囊外摘除人工晶状体植入联合青光眼小梁切除术是治疗慢性闭角型青光眼并发白内障的一种安全、有效、经济的方法。

AIM： To evaluate the effect of small incision non-phacoemulsification cataract intraocular lens implantation combined with trabeculectomy in treatment of glaucoma with cataract. METHODS： Retrospective study was conducted in 32 cases 32 eyes of chronic angle-closure glaucoma with cataract. All the patients underwent small incision non-phacoemulsification cataract extraction combined with trabeculectomy. RESULTS： Mean follow-up was 7.3 months （6-9 months）, 27 eyes（84%）had the best-corrected visual acuity at or above 0.3.All the IOP was controlled in normal range.The mean IOP was reduced to 13.50±5.30mmHg, functional filtering bleb in 28 eyes（88%）. No serious complica-tions occurred in or after operation. CONCLUSION： Small incision non-phacoemulsification cataract extraction combined with trabeculectomy is a safe,effective and economic method in the treatment of chronic angle-closure glaucoma with cataract.