超声乳化术治疗闭角型青光眼合并白内障临床观察  

Combination of phacoemulsification with IOP and trabeculectomy in patients with cataract and angle-closure glaucoma

作　　者：张敏[1] 钟广斌[1] 陈敏瑜[1] 张秋玲[1] 叶润才[1] 张颖栩[1] 

机构地区：[1]广东省东莞市人民医院眼科,523028

出　　处：《眼科研究》2004年第5期527-529,共3页Chinese Ophthalmic Research

摘　　要：目的　探讨白内障超声乳化折叠式人工晶状体植入术治疗闭角型青光眼的安全性和有效性。方法　 3 8例( 3 8眼 )青光眼合并白内障患者 ,房角关闭小于 1/ 2者单纯施行白内障超声乳化摘出及折叠式人工晶状体植入术 ,房角关闭大于 1/ 2者施行角巩膜分开切口白内障超声乳化摘出及折叠式人工晶状体植入联合小梁切除术。结果　 3 8例术后3个月眼压均控制在正常范围内 ,平均眼压为 14 2mmHg ,全部病例视力较术前提高 ,视力≥ 0 5者 2 0眼 ( 5 2 6% ) ,未发生严重并发症。结论　白内障超声乳化术在闭角型青光眼患者治疗中具有安全、视力恢复较好较快、降眼压效果确实。Objective To observe the effectiveness and safety of combined phacoemulsification with intraocular lens (IOL) implantation and trabeculectomy in patients with cataract and glaucoma. Methods Thirty-eight eyes of 38 patients received phaco-trabeculectomy with IOL implantation,and operative effectiveness and safety were evaluated by observing the changes of intraocular pressure (IOP ),visual acuity and anterior chamber angle. Results The average IOP was 14.2 mmHg,and the corrected visual acuity was equal to or over 0.5 in 20 of 38 eyes (52.6%)in 3 months after operation. Conclusion The combined procedure of phaco-trabeculectomy with IOL implantation is safe with few surgery complications and good visual outcome in patients with cataract and glaucoma.

关 键 词：超声乳化术 治疗 闭角型青光眼 白内障 临床观察 并发症 

分 类 号：R779.66[医药卫生—眼科]