白内障合并青光眼的联合手术治疗  

Combined surgery in the treatment of patients with cataract and glaucoma

作　　者：张曙[1] 严宏[1] 

机构地区：[1]第四军医大学唐都医院眼科,中国陕西省西安市710038

出　　处：《国际眼科杂志》2005年第3期499-503,共5页International Eye Science

摘　　要：白内障超声乳化人工晶状体植入联合小梁切除术在手术并发症,眼内压以及视敏度等方面比其他联合手术取得了更大的成功。一切口式与二切口式联合手术有相同的手术效果。白内障超声乳化联合小梁切除术并配合使用MMC比单纯白内障超声乳化联合小梁切除术能更好的降低眼压,但带来更多的手术并发症;5-FU没有MMC的效果,而且还对手术结果有不同的影响。近年来联合手术中的小梁切除术有一定的进展,但还没有进行长期的术后随访研究。国内外有关白内障合并青光眼的联合手术治疗的报道很多,本文主要对这些报道进行客观的总结评价和总结。· The literature on combined surgery in the treatment of patients with cataract and glaucoma was comprehensively studied, and all aspects and variations of the combined procedure were assessed. Phacoemulsification has improved the success rate and reduced the complication rate previously associated with extracapsular cataract extraction combined with trabeculectomy. One-site and- two-site techniques appeared to be similarly effective. Phacotrabeculectomy combined with mitomycin-c achieved a lower IOP than phacotrabeculectomy alone but has a higher complication rate. The use of 5-fluorouracil is not as effective as mitomycin-c and has a varied influence on the results. The development of new techniques that combine non-penetrating glaucoma surgery with phacoemulsification offers interesting surgical alternatives, but no long-term result has been reported.·

关 键 词：白内障 合并症 青光眼 手术方法 晶状体 

分 类 号：R779.6[医药卫生—眼科]