改进的青光眼白内障联合手术——垂直小梁切除人工晶状体植入术

Modified glaucoma and cataract surgery-vertical trabeculetomy combined intraocular lens implantation

目的 探讨巩膜隧道小切口内改良垂直小梁切除巩膜翻转联合人工晶状体植入术治疗青光眼合并白内障的治疗效果。方法 对 18例 2 4眼青光眼合并白内障采用经角巩膜隧道小切口完成垂直小梁切除深层巩膜条翻转引流联合非超声乳化白内障摘出人工晶状体植入术 ,术后观察视力、眼压、滤过泡及并发症情况。结果 术后随访 3～ 18月 ,视力大于 0 3者 2 1眼 ,占 87 5 % ,眼压控制在正常范围内 (小于 2 0 5 5mmHg) ( 1mmHg =0 .13 3kPa) 18眼 ,占 75 %。结论 该手术治疗青光眼合并白内障 ,具有良好的控制眼压和恢复有用视力的效果。

Objective To investgate the effect of modified vertical trabeculectomy combined small-incision cataract extraction,intraocular lens implantation in the treatment of glaucoma complicated with cataract.Methods The vertical trabeculectomy with turning of deep scleral flap and non-phaco cataract extraction,intraocular lens implantation was performed on 16 glaucoma cases (24 eyes) with cataract.The post operative visual acuity,intraocular pressure,filtering bleb and complications were observed.Results After 3-18 months follow-up,21 eyes had the best corrected visual acuity>0.3 (87.5%),18 eyes had the intraocular pressure less than 20.55 mmHg(75%).Conclusion In the treatment of glaucoma complicated with cataract,the modified vertical trabeculectomy with turning scleral flap and small-incision cataract extraction,intraocular lens implantation can effectively control intraocular pressure and restore useful vision.