青光眼合并白内障的手术选择  

Surgery of glaucoma complicated with cataract

作　　者：王宇冉[1] 

机构地区：[1]郑州大学第四附属医院眼科河南省眼科医院,河南郑州450044

出　　处：《眼外伤职业眼病杂志》2007年第8期584-586,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨原发性闭角型青光眼合并白内障的手术选择。方法38例(40眼)原发性闭角型青光眼合并白内障,根据眼压是否易被控制及C值等分别采用不同的手术方式,其中施行晶状体超声乳化人工晶状体植入术25例(27眼);白内障青光眼联合手术10例(10眼);分期手术(先行青光眼手术,再行白内障手术)3例(3眼)。术后随访1～12月。结果术后视力均有不同程度提高。单纯白内障组中,24眼眼压控制正常,3眼需在药物治疗下控制正常。10眼联合手术和3眼分次手术眼压均控制正常。角膜水肿5眼,其中单纯白内障组者3眼(11.11%),联合手术组者2眼(20.00%)。术后前房纤维素性渗出2眼均为联合手术组者。结论青光眼合并白内障应根据各项检查结果选择适当的手术方式,才能降低眼压,提高视力,减少术后并发症的发生。Objective To observe the different surgical meth-ods and effect of primary angle-closure glaucoma with cataract. Methods 40 eyes of 36 cases with primary angle-closure glaucoma with cataract, phacoemulsification and IOL implantation was per- formed on 28 eyes, phacoemulsification, IOL implantation and tra- beculectomy was performed on 9 eyes, the surgical procedure of glaucoma had firstly been performed and then phacoemulsification and IOL implantation was done on 3 eyes. Follow up was 1 - 12 months. Results Postoperative vision had increased in different degress. The intraocular pressure of 25 eyes were normal and 3 eyes were nomal under the drug control in the group of phacoemul- sification and IOL implantation. The intraocular pressure of 9 eyes with the tripe procedure and 3 eyes with the second operation were well controlled. Corneal edema in 5 eyes, including 3 eyes （ 10.71% ） in phacoemulsification and 2 eyes （22. 22% ） in the tripe procedure. 2 eyes with postoperatively significant exudation in anterior chamber were all in the tripe procedure, Conclusion The right methods selected according to the result of the examination can reduce the intraocular pressure and improve vision with fewer com-plications.

关 键 词：青光眼 白内障 晶状体乳化术 小梁切除术 

分 类 号：R779.6[医药卫生—眼科]