可调节缝线的三联手术治疗青光眼合并白内障  

Triple Surgery Combined with Adjustable Sutures for the Treatment of Glaucoma Complicated with Cataract

作　　者：于兰[1] 袁小江[1] 廖明星[1] 

机构地区：[1]湖南省怀化市第一人民医院眼科,湖南怀化418000

出　　处：《医学临床研究》2008年第10期1841-1842,共2页Journal of Clinical Research

摘　　要：【目的】探讨可调节缝线的小梁切除联合超声乳化白内障吸除和后房型人工晶体植入术(三联手术)治疗青光眼合并白内障患者的效果。【方法】应用加可调节缝线的三联手术对22例(24只眼)青光眼合并白内障患者进行手术治疗。术后随访8～36个月,平均19.2个月。【结果】术前平均眼压(24.36±2.28)mm-Hg(1mmHg=0.133kPa),术后6个月平均眼压降至(14.12±1.89)mmHg(P<0.01)。术后6个月矫正视力≥0.2者上升至22只眼(P<0.001)。随访最终无使用降眼压药物者。术后早期并发症角膜水肿4只眼(16.7%)。无浅前房、脉络膜脱离、黄斑囊样水肿等并发症发生。【结论】可调节缝线的三联手术治疗青光眼合并白内障患者,具有恢复有用视力、稳定眼压、减少术后用药、并发症少等理想效果。[Objective]To evaluate the effectiveness of triple procedure including phacoemulsification, posterior chamber intraocular lens implantation and trabeculectomy combined with adjustable sutures in the treatment of patients with coexisting glaucoma and cataract. [Methods]Twenty two patients （24 eyes） with coexisting glaucoma and cataract underwent triple procedure combined with adjustable sutures. The mean follow-up was 16.1 months （8-36 months）. [Results]The mean preoperative intraocular pressure （IOP） was （24.36±2.28） mmHg （1mmHg=0.133 kPa） which decreased to a mean postoperative IOP of （14.12±1.89） mmHg （P〈0.001）. After follow up for 6 months, the corrected visual acuity were ≥0.2 in 22 eyes higher than those before surgery （P〈0.001）. No eyes used any medications at the last follow up. The early postoperative complication was corneal edema in 4 eyes （16. 7G）. The complications such as shallow anterior chamber, choriodal detachment and macular edema etc. were not discovered. [Conclusion]The triple procedure combined with adjustable sutures is effective for treating patients with coexisting cataract and glaucoma. It can improve the valid visual acuity rapidly and reduce intraocular pressure with less medication, and has less postoperative complications.

关 键 词：青光眼/并发症 白内障/并发症 青光眼/外科学 白内障/外科学 

分 类 号：R775[医药卫生—眼科]