不同切口白内障超声乳化联合青光眼小梁切除手术  

Phacoemulsification and intraocular lens implantation combined with trabeculectomy with two incisions

作　　者：温跃春[1] 张士倩[1] 吴章友[1] 顾永昊[1] 

机构地区：[1]安徽省立医院眼科,安徽合肥230001

出　　处：《实用防盲技术》2008年第2期4-5,22,共3页Journal of Practical Preventing Blind

摘　　要：目的方法探讨经不同切口行白内障超声乳化联合青光眼小梁切除手术方法与手术效果分析。分析2005至结果结论2006年间我院开展的46例白内障合并闭角型青光眼患者,其中急性闭角型青光眼35例,慢性闭角型青光眼11例;经一切口行常规的白内障超声乳化摘除及折叠型人工晶状体植入,另一切口行常规的小梁切除手术;术后按常规处理。术后一周视力>0.3者28例,眼压均控制在21mmHg以下,结膜滤泡均为Ⅱ型,不明显者加用局部按摩。术后并发症主要有角膜水肿21例,前房渗出11例。术后随访3到6个月,矫正视力>0.5者34例,视力较差的原因主要是青光眼性视神经萎缩;眼压43例控制在21mmHg以下,3例经局部用降眼压药水后眼压控制在正常范围,并且滤过泡形成良好。不同切口进行白内障超声乳化人工晶状体植入联合小梁切除手术是治疗白内障合并闭角型青光眼较理想的方法,并且手术后视力恢复良好,眼压得到控制,滤过泡形成理想.Objective To evaluate the efficacy of phacoemulsification and intraoeular lens implantation combined with trabeculectomy with two incisions.Methods Retrospectively analyze 46 cases of cataraet with angle-closure glaucoma,from 2005 to 2006.The cases underwent phacoemulsification and IOL implantation with clear corneal incision combied with trabeculectomy with selera insision.Results One week postoperatively,28 cases had visual acuity better than 0.3 and IOP of all cases were lower than 21mmHg.All cases had filtering blebs of Ⅱ-type.Main postoperative complications included 21 cases of corneal edema and 11 cases of anterior chamber exudation.During follow -up 3 to 6 months.34 cases had best corrected visual acuity better than 0.5 and other cases were due to the visnal nerve atrophy .43 cases had IOP lower than 21 mmHg.3 cases got satisfied IOP combined with drugs.All eases had good filtering blebs.Conclusion Phacoemulsification and intraocular lens implantation combined with trabeculectomy with two incisions was an effective surgery for patients with cataract and glaucoma.This surgery could improwe the visual acuity and control the IOP with：satisfactory fitering bleb.

关 键 词：白内障 青光眼 超声乳化 小梁切除 

分 类 号：R779.6[医药卫生—眼科]