晶状体超声乳化联合小梁切除术治疗青光眼合并白内障  

Clinical effect of phacoemulsification combined with trabeculectomy on glaucoma with cataract

作　　者：丁颖[1] 巨朝娟[1] 王国强[1] 宋耕[1] 

机构地区：[1]河北医科大学第一医院眼科,河北石家庄050031

出　　处：《眼外伤职业眼病杂志》2010年第6期438-440,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨青光眼合并白内障的晶状体超声乳化吸出联合小梁切除术的方法和效果。方法对89例89眼超声乳化吸出人工晶状体植入联合标准小梁切除术加可调节缝线,术后观察眼压、视力及并发症,随诊6-12个月。结果 89例中81眼（91.01%）眼压控制在21 mmHg以下,其中47眼（52.80%）在15 mmHg以下。术前平均眼压（25.17±2.58）mmHg术后降至（15.69±2.89）mmHg。58眼（65.17%）矫正视力≥0.5,术后视力较术前明显提高。结论超声乳化吸出人工晶状体植入联合小梁切除术可以在降低眼压的同时恢复视力。Objective To observe the clinical effects of phacoemulsification,IOL implantation combined with trabeculectomy. Methods This retrospective study include 89 consecutive patients who underwent phaco-trab with transcorea adjustable suture.Visual acuity,intraocular pressure（IOP）,and postoperative complication were recorded.The mean follow-up time was 6-12 months. Results Intraocular pressure was less onan 21 mmHg in 81 eyes including 47 eyes in which intraocular pressure was less than 15 mmHg.Preoperative IOP was 25.17±2.58 mmHg.Postoperative IOP was 15.69±2.89 mmHg.Best corrected visual acuity improved in65.17% of the patients.The rate offunction filtering bleb was 88.91%,unfunction bleb 7.89%,and thin wallbleb 3.20%.Complication includedcoreal edema,shallow anterior chamber,effusion in anterior chamber. Conclusion Phacoemulsification combined with trabeculectomy and adjustable suture can decrease intraoeular pressure and improve visual acuity.It was a effecive treatment.

关 键 词：晶状体超声乳化吸出术 小梁切除术 白内障 青光眼 可调节缝线 

分 类 号：R779.66[医药卫生—眼科]