小切口非超声乳化IOL植入联合小梁切除术疗效观察

Effect observation of small incision non-phacoemulsification cataract extraction and IOL implantation and trabeculectomy

目的:探讨小切口非超声乳化IOL植入联合青光眼小梁切除术(简称三联手术)的临床疗效。方法:对43例46眼青光眼合并白内障患者行三联手术进行回顾性分析。观察术后视力、眼压、滤过泡及并发症等情况。结果:术后视力均较术前有不同程度的提高,术后眼压控制在11.04～19.08(平均14.05±3.24)mmHg。3例3眼术后眼压波动在25mmHg左右,用5g/L噻吗酰胺滴眼液后眼压控制在正常范围;功能性滤过泡(包括Ⅰ型、Ⅱ型)36例38眼无严重并发症发生。结论:小切口非超声乳化IOL植入联合小梁切除术能有效地控制眼压,提高视力,是一种安全、有效的治疗白内障合并青光眼的联合手术。

AIM： To evaluate the therapeutic effects ot small incision non-phacoemulsification cataract extraction and IOL implantation and trabeculectomy （triple operation）. METHODS： Triple operation on 43 cases 46 eyes with glaucoma and cataract was analyzed retrospectively. Visual acuity, intraocular pressure （ lOP）, filtration state and postoperative complication were observed. RESULTS： Postoperative visual acuities were improved. Postoperative lOP. 11.04-19. 08mmHg, the mean postopera- tive IOP： 14.05 ＋ 3.24mmHg. 3 cases 3 eyes lOP were about 25mmHg postoperatively and could be controled in normal range by 5g/L timolol. 38 eyes had the functional filtering bleb （including Ⅰ and Ⅱ type）. All cases had no severe complications. CONCLUSION： The triple operation with small incision non-phacoemulsification cataract extraction and IOL im- plantation and trabeculectomy may effectively control lOP and improve visual acuity. Triple operation is an effective and safe method for cataract patients with glaucoma.