超声乳化联合小梁切除术治疗老年青光眼合并白内障的临床观察

Clinical Observation of Phacoemulsification Combined with Trabeculectomy in the Treatment of Elderly Glaucoma with Cataract

目的:探讨超声乳化(PHACO)联合小梁切除术(TRAB)治疗老年青光眼(GLC)合并白内障(CAT)的临床效果.方法:选取2021年4月至2023年4月在本院接受手术治疗的90例老年GLC合并CAT患者为研究对象.根据手术方法,将其分为观察组(n=45,予以PHACO联合TRAB治疗)和对照组(n=45,予以TRAB治疗).比较术前、术后1个月两组患者视力、眼压、前房角度、前房深度,记录两组患者术后1周内并发症情况.结果:与术前比较,两组患者术后1个月眼压、前房角度均降低,视力、前房深度均升高,且观察组患者改善更明显,差异均有统计学意义(P<0.05);观察组患者并发症发生率(2/45,4.44%)低于对照组(8/45,17.78%),差异具有统计学意义(P<0.05).结论:PHACO联合TRAB治疗可提升老年GLC合并CAT患者视力,降低眼压,改善前房角度及深度,且安全性较高.

Objective:To explore the clinical effect of phacoemulsification(PHACO)combined with trabeculectomy(TRAB)in the treatment of elderly glaucoma(CLC)with Cataract(CAT).Method:A total of 90 elderly patients with GLC and CAT who received surgical treatment in our hospital from April 2021 to April 2023 were selected as the research objects.They were divided into observation group(n=45,treated with PHACO combined with TRAB)and control group(n=45,treated with TRAB)according to different surgical methods.The visual acuity,intraocular pressure,anterior chamber angle and anterior chamber depth of the two groups before and 1 month after operation were compared,and the complications of the two groups within 1 week after operation were recorded.Results:Compared with preoperative conditions,the intraocular pressure and anterior chamber angle decreased in both groups one month after surgery,while visual acuity and anterior chamber depth increased.The observation group showed more significant improvement,the differences were statistically significant(P<0.05).The incidence of complications in observation group(2/45,4.44%)was lower than that in control group(8/45,17.78%),the difference was statistically significant(P<0.05).Conclusion:The combination of PHACO and TRAB treatment can improve vision,reduce intraocular pressure,improve anterior chamber angle and depth in elderly GLC patients with CAT,and has high safety.