曲安奈德在白内障超声乳化吸除联合小梁切除术中的应用

目的 观察白内障超声乳化吸除联合小梁切除术中应用曲安奈德（TA）治疗青光眼合并白内障的术后效果.方法 青光眼合并白内障患者23例23只眼,眼压（25.17±2.18） mmHg（1 mmHg=0.133 kPa）,视力：＜0.1 9只眼（39.1％）,0.1～0.5 14只眼（60.9％）.施行白内障超声乳化吸除人工晶状体植入联合标准小梁切除术,手术结束时予前房注入少量TA,术后随诊12个月,观察患者眼压、视力及术后并发症情况.结果 1.术后6个月视力,＜0.1 5只眼（21.7％）,0.1～0.55只眼（21.7％）,＞0.5 13只眼（56.5％）;术后12个月视力,＜0.12只眼（8.7％）,0.1～0.55只眼（21.7％）,＞0.5 16只眼（69.6％）,均好于术前（P＜0.05）.2.术后6个月及术后12个月眼压分别为（17.25±2.76） mmHg、（15.69±2.89） mmHg,明显低于术前（P＜0.05）.3.术后浅前房8只眼（34.8％）,包扎3d后恢复.4.功能性滤过泡,术后6个月22只眼（95.7％）,术后12个月21只眼（91.3％）.结论 联合手术治疗青光眼合并白内障可以在降低眼压的同时恢复视力,术中应用TA有助于减轻术后反应及减少并发症.

三联手术对白内障并发急性闭角型青光眼患者术后血-房水屏障功能的影响

目的:观察超声乳化白内障吸除折叠式人工晶状体植入联合青光眼小梁切除术(三联手术)对血-房水屏障影响,评价三联手术安全性。方法:回顾性分析13例(13眼)年龄相关性性白内障并发急性闭角型青光眼患者,通过药物治疗眼压降至正常范围后行三联手术。结果:术前1d及术后7、30和90d房水闪辉值分别为19.808±3.456、41.153±8.418、14.844±5.107、13.942±6.875,术前1d与术后7、30和90d的房水闪辉值比较有显著性差异(P<0.05),术前1d较术后7d房水闪辉值低,但较术后30及90d房水闪辉值高;术后7d较术后30、90d的房水闪辉值高(P<0.05);术后30d与90d房水闪辉值比较无统计学差异(P>0.05)。术前1d、术后7、30和90d眼压分别为(52.270±6.960)mmHg、(13.935±4.361)mmHg、(14.385±3.230)mmHg、(15.089±2.597)mmHg,各时间点眼压与房水闪辉值之间无线性相关性(P>0.05)。结论:年龄相关性性白内障并发急性闭角型青光眼患者行三联手术后血-房水屏障破坏较为严重,术后积极抗炎治疗减轻手术损伤,是保证三连手术成功的关键。

INTRAOCULAR PRESSURE OUTCOME IN PRIMARY 5FU PHACOTRABECULEC- TOMIES COMPARED TO 5FU TRA- BECULECTOMIES

Introduction: Cataract & glaucoma commonly coexist and the surgical treatment of glaucoma may also be combined with pha-coemulsification. Combined surgery may not achieve as low intraocular pressure (IOP) as compared to trabeculectomy alone due to the increased inflammatory response associated

EFFICACY AND SAFETY OF PHA- COEMULSIFICATION AND DEEP SCLE- RECTOMY COMPARED WITH PHACO- TRABECULECTOMY

Purpose: To compare the outcome of phacoemulsification combined with deep sclerectomy (P-DS) and SK-gel implant, with that of phacotrabeculectomy(P-T) and intraoperative use of mit-omycin C in patients with cataract and primary open-angle glaucoma. Methods: Thirty eyes (27 patients) who underwent P-DS, with at least 12 months of follow-up were