小切口联合手术治疗慢性闭角型青光眼合并白内障20例

Analysis of small-incision combined surgery on chronic angle-closure glaucoma with cataract in 20 cases

目的:观察小切口白内障囊外摘除、后房型人工晶状体植入联合房角分离、小梁切除术(简称联合手术)治疗慢性闭角型青光眼合并白内障的临床疗效。方法:对20例26眼慢性闭角型青光眼合并白内障患者施行联合手术,术后观察视力、房角、眼压及滤过泡和并发症情况,随访4～10mo。结果:所有患者术后视力均有不同程度提高,术后房角可见不同程度的开放,周边虹膜粘连范围缩小,所有眼压控制在正常范围,22眼存在功能性滤过泡,主要并发症是前房出血、短暂角膜水肿。结论:采用联合手术治疗慢性闭角型青光眼合并白内障能够有效控制眼压、提高视力,手术安全、有效。

AIM：To observe the clinical effect of small-incision extracapsular cataract extraction（ECCE）with posterior chamber intraocular lens implantation combined with goniosynechialysis and trabeculectomy for the treatment of chronic angle-closure glaucoma with cataract.METHODS：Twenty cases （26 eyes） with chronic angle-closure glaucoma and cataract were performed combined surgery. The postoperative visual acuity, intraocular pressure（IOP）, anterior chamber angle, filtering bleb morphology and complications were all observed and reported. The follow-up was 4-10 months.RESULTS：All the patients＇ visual acuity were improved in different degrees, All eyes had normal IOP. The angle-closure can be partly opened and the range of goniosynechia can be decreased after surgery. Twenty-two eyes had functional filtering bleb. The major complications were anterior chamber hemorrhage and transient corneal edema.CONCLUSION：Combined surgery for the treatment of chronic angle-closure glaucoma with cataract can effectively control IOP and improve visual acuity. It is safe and effective.