小梁切除联合超声乳化人工晶状体植入术的临床疗效观察

The clinical observation on trabeculectomy combined cataract and phacoemulsification with intraocular lens implantation

目的为了观察不同类型青光眼伴有白内障患者的小梁切除联合白内障超声乳化吸除并后房型人工晶状体植入三联术后3个月的视力、眼压以及并发症发生的乳化后房型人工晶状体植入情况。方法 82例(91只眼),青光眼合并白内障患者行小梁切除联合超声乳化吸除并后房型人工晶状体植入。结果术后3个月平均眼压低于15mmHg(1mmHg=0.133kPa),平均视力好于0.54.结论小梁切除联合白内障超声乳化吸除并后房型人工晶状体植入术具有切口小、眼压控制好,滤过泡形态佳,能获得一定的视力。

Objective To evaluate the visual acuity, intraocular pressure （lOP）and complications of the triple procedure at threemonths, including trabeeulectomy, phacoemulsification and posterior chamber intraoeular lens （IOLs）implantation,in patients with coexisting different glaucoma and cataract. Methods Eighty two cases （91 eyes）with coexisting glaucoma and cataract were underwent the triple procedure;the following up was 3 months. Results The mean IOP was lower than 15 mm Hg（ 1 mm Hg =0. 133 kPa） and visual acuity was better than 0. 54 postoperatively. Conclusion The benefits of trabeculeetomy combined with phaeoemulsifiea- tion and IOLs implantation are small incision, lower IOP, perfect filtering blebs and rapid recovering functional visual acuity.