超声乳化白内障摘除+人工晶体植入+小梁切除术治疗白内障合并青光眼的效果评价

Effect of phacoemulsification cataract extraction, intraocular lens implantation and trabeculectomy for ca cataract accmpany with glaucoma

目的:探讨用超声乳化白内障摘除+人工晶体植入+小梁切除术治疗白内障合并青光眼的临床效果。方法:将2016年1月至2017年6月期间盐亭县人民医院收治的80例(80眼)白内障合并青光眼患者作为研究对象。将其随机分为研究组(40例)与对照组(40例)。为对照组患者采用白内障囊外摘除+人工晶体植入+小梁切除术进行治疗,为研究组患者采用超声乳化白内障摘除+人工晶体植入+小梁切除术进行治疗。然后对比两组患者前房的深度、眼压、视力、角膜散光的度数和术后并发症的发生情况。结果:在术后,两组患者前房的深度均较术前明显增大,其眼压均较术前明显降低,其视力均较术前明显提高(P<0.05)。研究组患者术后角膜散光的度数低于对照组患者(P>0.05)。在术后,研究组患者睫状体脉络膜脱落的发生率和前房炎症的发生率均低于对照组患者(P<0.05)。结论:用超声乳化白内障摘除+人工晶体植入+小梁切除术治疗白内障合并青光眼的效果确切,且安全性较高。

objective： to explore the clinical effect of phacoemulsification cataract extraction ＋ intraocular lens implantation ＋ trabeculectomy for cataract complicated with glaucoma. Methods： 80 cases（80 eyes） of cataract combined with glaucoma admitted by yanting county people＇s hospital from January 2016 to June 2017 were studied. They were randomly divided into a study group（40 cases） and a control group（40 cases）. For the control group, cataract extracapsular extraction ＋ intraocular lens implantation ＋ trabeculectomy were adopted for the study group Ultrasonic emulsifying cataract extraction ＋ iol implantation ＋ trabeculectomy for treatment. The anterior chamber depth, intraocular pressure, vision, degree of corneal astigmatism and postoperative complications were compared between the two groups. Results： after surgery, the anterior chamber depth of the two groups of patients increased significantly compared with the preoperative period, their intraocular pressure decreased significantly compared with the preoperative period, and their vision improved significantly compared with the preoperative period（P〈0.05）. The degree of postoperative corneal astigmatism in the study group was lower than that in the control group（P〈0.05）. After surgery, the incidence of ciliary choroid detachment and anterior chamber inflammation in the study group were lower than those in the control group（P〈0.05）. Conclusion： phacoemulsification cataract extraction ＋ iol implantation ＋ trabeculectomy is effective and safe in treating cataract complicated with glaucoma.