小梁切除术联合超声乳化术对于原发性闭角型及开角型青光眼合并白内障患者的治疗效果

The effect of trabeculectomy combined with phacoemulsification treatment of primary angle closeed and open-angle glaucoma with cataract

目的探讨小梁切除术联合超声乳化术对于原发性闭角型及开角型青光眼合并白内障患者的治疗效果,评价其临床应用价值。方法对于2010年10月至2011年12月在本院进行治疗的75例青光眼合并白内障患者(闭角型38例,开角型37例),采用小梁切除术联合超声乳化PCIOL植入术进行治疗,对两组患者的眼压大小及手术成功率进行比较。结果两组患者的眼压均下降,视力明显改善,闭角型青光眼组患者的眼压低于开角型青光眼组患者,两组间差异具有统计学意义(P<0.05);闭角型青光眼组患者的手术成功率为100%,开角型青光眼组患者的手术成功率为77.8%,闭角型青光眼组患者的手术成功率高于开角型青光眼组患者(P<0.05);闭角型青光眼患者术后并发症发生多于开角型青光眼患者,但两组间差异无统计学意义(P>0.05)。结论小梁切除术联合超声乳化PCIOL植入术对于原发性闭角型及开角型青光眼合并白内障患者的治疗效果,安全性较高,能够降低眼压,改善视力,闭角型青光眼的眼压控制好于开角型青光眼患者。

Objective To discussion the clinical effective of phacotrabeculectomy treatment in primary angle closure glaucoma （PACG） and primary open angle glaucoma（POAG） with cataract, evaluated its clinical application value. Methods 75 glaucoma patients were divided into two groups （38 PACG group, 37 POAG group）, compared intraocular pressure size and the success rate between two groups underwent phacotrabeculec- tonay combine PC IOL insertion. Results Postoperative IOP was reduced significantly in both groups, visual had obviously improvement, IOP in PACG group was lower than that in POAG group （P 〈 0. 05 ）, operation suc- cess rate was 100% in PACG group,77.8% in POAG group, which had significantly difference（ P 〈 0. 05 ）, postoperative complications associated with PACG group were more than POAG group, but there were no signifi- cantly differences between two groups（P 〉 0.05）. Conclusion IOP can be controlled effectively and safely in PACG and POAG with cataract patients by phacotrabeculectomy combine PC IOL insertion, visual improvement obviously, and lOP controlled in PACG group better than in POAG grout）.