晶状体超声乳化吸出联合小梁切除术治疗白内障合并青光眼  

Phacoemulsification combined with trabeculectomy for treatment of cataract and glaucoma

作　　者：范钦华[1] 杨建东[1] 张安南[1] 张志强[1] 李耀武[2] 刘宇[1] 

机构地区：[1]解放军八一医院眼科,江苏南京210002 [2]上海长征医院南京分院眼科,江苏南京210015

出　　处：《眼外伤职业眼病杂志》2008年第1期59-61,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的评价晶状体超声乳化吸出联合小梁切除术治疗白内障合并青光眼的手术效果。方法对38例（43眼）白内障合并青光眼采用经上方巩膜隧道切口行三联手术，术后随访6个月。结果术后最佳矫正视力：≥0．5者35眼（81．40％），0．2～0．4者5眼（11．63％），≤0．1者3眼（6．98％）。术后眼压≤15mmHg者14眼（32.56％），16～21mmHg者24眼（55．81％），≥22mmHg者5眼（11．63％）。结论晶状体超声乳化白内障摘出联合小梁切除术是治疗自内障合并青光眼的理想术式。Objective To evaluate the effect of the combined phacoemulsification and trabeculectomy （triple procedure） on patient with cataract and glaucoma. Methods Triple procedure was performed by means of scleral tunnel flap on 43 eyes of 38 patients. The follow-up period was 6 months. Results The corrected visual acuities were ≥0.5 in 35 eyes（81.4%）,0.2 to 0.4 in 5 eyes （11.63%） , ≤0. 1 in 3 eyes （6.98%）. The postoperative intraocular pressure was ≤15 mmHg in 14 eyes （32.56%） ,16-21 mmHg in 24 eyes（55.8%）,≥22 mmHgin 5 eyes （11.63%）. Conclu-ions The triple procedure is effective for improving the visual acuity and reducing intraocular pressure in patients with cataract and glaucoma.

关 键 词：晶状体超声乳化 小梁切除术 白内障 青光眼 

分 类 号：R779.6[医药卫生—眼科]