小梁切除联合超声乳化白内障吸除术治疗青光眼合并白内障

Trabeculectomy combined with phacoemulsification for glaucoma complicated with cataract

目的:观察小梁切除联合超声乳化白内障吸除术在原发性闭角型青光眼(包括急性闭角型青光眼与慢性闭角型青光眼)合并白内障患者中的临床治疗效果及对并发症的影响。方法:选取2014-01/2016-07在我院诊治的青光眼合并白内障患者60例60眼,采用随机数字方法分为对照组(30例30眼)和观察组(30例30眼)。对照组采用小梁切除术治疗,观察组采用小梁切除联合超声乳化白内障吸除治疗,比较两组临床效果及并发症发生率情况。结果:观察组术后视力与对照组相比差异无统计学意义(P>0.05);观察组术后眼压水平低于对照组,差异有统计学意义(P<0.05);观察组术后前房深度大于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为7%,显著低于对照组的23%,差异有统计学意义(P<0.05)。结论:原发性闭角型青光眼合并白内障患者在小梁切除术基础上联合超声乳化白内障吸除术治疗效果理想,并发症发生率相对较低。

AIM：To observe the curative effect of trabeculectomy combined with phacoemulsification in patients with primary angle-closure glaucoma（including acute or chronic angle-closure glaucoma） complicated with cataract and the complications influences.METHODS：Sixty patients（60 eyes） with glaucoma and cataract treated in our hospital from January 2014 to July2016 were randomly divided into control group（30 eyes）and observation group（30 eyes）.Trabeculectomy were used in the control group.Trabeculectomy combined with phacoemulsification was performed in the observation group.The clinical efficacy and complication rate of the two groups were compared.RESULTS：There was no significant difference in the postoperative visual acuity between the observation group and the control group（P0.05）.The intraocular pressure of observation group was significantly lower than that of control group（P0.05）.In the observation group,the postoperative anterior chamber depth was greater than that in the control group（P0.05）.The postoperative complication rate in the observation group was 7%which was significantly lower than that in the control group（23%,P0.05）.CONCLUSION：Trabeculectomy combined with phacoemunification are the ideal treatment for primary angleclosure glaucoma with cataract.The complication rate is relatively low.