超声乳化白内障吸除折叠式人工晶体植入联合小梁切除术的临床疗效  

Clinical outcomes of phacoemulsification-intraocular lens implantation combined with trabeculectomy for cataract patients

作　　者：许琰[1] 张兴儒[1] 周欢明[1] 

机构地区：[1]上海中医药大学附属普陀医院眼科,200062

出　　处：《上海医学》2009年第2期136-138,共3页Shanghai Medical Journal

摘　　要：目的评价超声乳化白内障吸除折叠式人工晶体(IOL)植入联合小梁切除术的安全性和有效性。方法收集28例30眼慢性闭角型青光眼合并白内障行超声乳化白内障吸除折叠式IOL植入联合小梁切除术患者(A组)的临床资料,总结和分析患者的视力、眼压、滤过泡、手术并发症以及医疗费用情况,并与行青光眼小梁切除术后3～4周再行白内障手术的27例28眼慢性闭角型青光眼合并白内障患者(B组)进行比较。术后随访6个月。结果A、B组术后1周和1、6个月的眼压下降值及最佳矫正视力≥0.5的眼数的差异均无统计学意义(P值均>0.05)。两组术后滤过泡发生率的差异均无统计学意义(P值均>0.05)。两组均无严重并发症发生。A组平均住院天数为(10.4±1.6)d,显著少于B组的(15.8±1.6)d(P<0.01)。A组平均医疗费用为(7603.57±215.97)元,显著低于B组的(9671.75±268.60)元(P<0.01)。结论超声乳化白内障吸除折叠式人工IOL植入联合小梁切除术并发症少,可便捷、安全、有效、经济地治疗青光眼合并白内障。Objective To evaluate the safety and effectiveness of phacoemulsification- intraocular lens （IOL）implantation combined with trabeculectomy in treatment of patients with cataract. Methods Fifty-eight eyes of 55 patients with chronic angle-closure glaucoma with cataract were included in the present study. Phacoemulsification-IOL implantation combined with trabeculectomy was performed for 30 eyes of 28 patients （group A） and phacoemulsification-IOL implantation after trabeculectomy was performed for 28 eyes of 27 patients （group B）. The best-corrected visual acuity （BCVA）, pre- and post-operation intraocular pressure （lOP）, postoperative bleb formation and postoperative complications were analyzed and compared between the two groups. All the cases were followed up for over 6 months. Results The mean IOP values of group A and group B at 1 week, 1 month, and 6 months after operation and the number of eyes with BCVA distinctly lower than those of preoperative. There were no significant decline differences of the lOP between two groups during postoperative 1 week, 1 and 6 month. The eyes with postoperative BCVA ≥0.5 were similar between the 2 groups; the conditions of filtering bleb were also similar between the 2 groups. There were no severe complications in the 2 groups. The mean hospital stay and the cost were （[10.4± 1.6] d and [7 603.57±215.97] yuan） in group A were significantly lower than those in group B （[15.8± 1.6] d and [9 671.75±268.60] yuan） in group B （both P〈0.01）. Conclusion Phacoemulsification-IOL implantation combined with trabeculectomy is a safe, effective, economical regimen for glaucoma combined with cataract with less complication. （Shanghai Med J, 2009, 32 ： 136- 138）

关 键 词：超声乳化白内障吸除术 小梁切除术 青光眼 白内障 人工晶体 

分 类 号：R779.66[医药卫生—眼科]