青光眼白内障超声乳化折叠式人工晶体植入术临床观察

Clinical observation of the treatment of glaucoma with cataract by trabeculectomy combined with phacoemulsification and intraocular lens implantation

目的探讨超声乳化折叠式人工晶体植入联合小梁切除术治疗青光眼白内障两种疾患并存的疗效。方法对20例(26眼)在小梁切除同时完成白内障超声乳化折叠式人工晶体植入及抗青光眼手术。结果术后随诊时间平均3-12月,平均眼压14.23±3.47mmHg。16眼矫正视力>0.5,10眼矫正视力0.12-0.5,术后三月屈光检查,11只眼散光值为0.25-0.75D,6只眼散光值为1.00-1.25D,9只眼无散光。结论此术式具有切口小、二次手术一次完成,患者痛苦小、对眼损伤小、对房角小梁不产生损坏,术后眼压易控制,视力恢复快,并发症少等优点。

Objective To evaluate the effects of combined with pliacoemulsifcation,lens implantation and trabeculectomy for the treatment of glaucoma with cataract.Methods 20 Patients（26 eyes）with glaucoma and cataract were treated with phacoemulsification, intraocular lens implantation and trabeculectomy.Results All cases were follow-up for 3-12months. Average mean IOP was 14.23±3.47mmHg. Postoperative corrected visual acuity was better than 0.5in 16 eyes, 0.12-0.5 in 10 eyes. Postoperative astigmatism was 0.25-0.75D in 11 eyes, 1.00-1.25D in 6 eyes, 0D in 9 eyes.Conclusion Combined surgery is an effective, quick and safe procedure to control intraocular pressure, maintain visual acuity and avoid second surgery for glaucoma with cataract.