单切口超声乳化IOL植入术联合小梁切除术后疗效观察

Analysis of operative efficacy of one incision phacoemulsification and IOL implantation combined with trabeculectomy

目的:评价单切口白内障超声乳化吸除、人工晶状体植入联合小梁切除术(单切口三联术)治疗青光眼合并白内障患者的临床疗效。方法:对2008-01/2009-02在我院行单切口三联术的30例34眼患者进行回顾性研究,观察术后视力、眼压及并发症等情况,随访24～36mo。结果:术前34眼平均视力4.21±0.42,术后平均视力4.67±0.22,术前后统计学比较差异有显著性(t=-5.794,P<0.01)。术后34眼未采取任何措施眼压控制在21mmHg以下,由术前平均23.67±9.12mmHg降低为术后平均15.90±2.74mmHg,术前后统计学比较差异有显著性(t=5.162,P<0.01),术后均无严重并发症。结论:单切口三联术能较好控制眼压,获得较满意的视力。

AIM：To evaluate the therapeutic effects of one incision phacoemulsification and intraocular lens（IOL） implantation combined with trabeculectomy （triple surgery） in the treatment of glaucoma combined with cataract. METHODS：A total of 30 cases （34 eyes ） with coexisting glaucoma and cataract, who were performed triple surgery from January 2008 to February 2009 in our hospital, were retrospectively analyzed. Preoperative and postoperative visual acuity intraocular pressure （IOP） and complications were observed, and all cases were followed up for 24 to 36 months. RESULTS：Preoperative mean visual acuity was 4.21±0.42. Postoperative mean visual acuity was 4.67±0.22. There was significant difference between before and after operation （t=-5.794,P0.01）.The postoperative IOP of 34 eyes were normal without any other treatments, the mean IOP decreased from preoperative 23.67±9.12mmHg to postoperative 15.90±2.74mmHg .There was significant difference between before and after operation （t=5.162, P0.01）. 34 eyes didn＇t occur serious complications. CONCLUSION：One incision triple surgery could control IOP effectively and improve visual acuity quickly and remarkably.