青光眼合并白内障联合手术的疗效观察

Clinical observation of combined surgery of glaucoma together with cataract

目的观察晶状体超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障的临床效果。方法青光眼合并白内障37例（42眼）应用联合手术治疗，随访3—24个月，观察术后视力、眼压、滤过泡及并发症情况。结果术后3个月视力均有不同程度的提高；0．3及以上者占83．33％。术后3个月眼压有41眼（97．62％）控制在9～16mmHg。术后6个月功能性滤过泡36眼（85．71％）。术后并发症有：葡萄膜反应、角膜水肿、暂时性眼压升高等，经治疗后缓解。结论青光眼合并白内障联合手术，既能控制眼压，又能改善视力，避免了分期手术给患者造成的痛苦，减少了术中术后并发症的发生。

Objective To observe the clinical effects of combined surgery of phacoemulsification, intraocular lens implantation and trabeculectomy for patients with glaucoma and cataract. Methods 37 pa- tients（42 eyes）with glaucoma and cataract underwent the combined surgery. All cases were followed up for 3 to 24 months. The visual acuity, intraocular pressure, filtering bleb and complications were observed. Results The visual acuity of all patients were improved in different degrees 3 months after operation. 83.33% of them obtained a vision of 0.3 or better. The intraocular pressure of 41 eyes （97.62%）was 9-16 mm Hg 3 months after operation. 36 eyes（ 85.71% ） have functional filtering bleb 6 months after operation. The major postoperative complications were uveitis, corneal edema and transient high intraocular pressure. All complica-tions remissed alter treatment by medication. ConcLusion Combined surgery in glaucoma with cataract can control intraocular pressure and improve visual acuity. It can avoid the pain of staging surgery to patients, and reduce the postoperalive complications.