超声乳化白内障吸除联合小梁切除治疗青光眼合并白内障分析  

Analysis of the clinical effects of the two-site incision combined phacoemulsification and trabeculec- tomy for patients with glaucoma and cataract

作　　者：李奇根[1] 戚朝秀[1] 王涛[1] 彭瑞萍[1] 赖坤贝[1] 董丽洁[1] 

机构地区：[1]中山大学附属第三医院眼科,广州510630

出　　处：《中国实用眼科杂志》2010年第11期1215-1217,共3页Chinese Journal of Practical Ophthalmology

基　　金：广东省科技计划项目（2008B060600056）

摘　　要：目的 探讨双切口超声乳化白内障吸除人工晶状体植入联合复合式小梁切除术治疗青光眼合并白内障的临床疗效.方法 回顾分析32例35只眼青光眼合并白内障患者进行联合手术后的临床效果,在术后随访的12～48个月中,分析手术前后视力、眼压、滤过泡形态和并发症的情况.结果 35眼中32只眼眼压控制在21mmHg以下,其中20只眼在15mmHg以下,眼压由术前平均（28.16±2.63）mmHg降低至术后（16.32±3.45）mmHg,t=21.60,P＜0.05;所使用的抗青光眼药物由术前平均（2.59±0.49）种减少至术后仅3只眼需1种.30只眼（85.7%）术后视力提高.并发症主要是短暂角膜水肿及虹膜睫状体炎.结论 超声乳化白内障吸除人工晶状体植入联合复合式小梁切除术在治疗青光眼合并白内障的患者时,能够有效降低眼压、提高视力.Objective To evaluate the clinical effects of the two-site incision combined surgery of phacoemulsification, foldable intraocular lens implantation and trabeculectomy for patients with glaucoma and cataract. Methods Retrospectively analyzed pre- and post-operation effects of visual acuity, intraocular pressure and filtering bleb morphology and complications. Thirty five eyes of 32 patients with glaucoma and cataract underwent the combined operations. Results All cases were followed up for 12 to 48 months. Intraocular pressure of 32 eyes was controlled under 21mmHg （1mmHg = 0. 133kPa） and 20 eyes lower than 15mmHg. The average intraocular pressure was from （28.16 ± 2.63 ）mmHg pre-operation to （ 16.32 ± 3.45）mmHg post-operation （t =21.60, P 〈0. 05）. The species of anti-glaucoma drugs from preoperative average of 2.59 ± 0.49 was decreased to only one kind in three patients postoperative. Postoperative visual acuity of 30 eyes （85.7%） was increased. The major complications were a transient corneal edema and iridocyclitis. Conclusions Combined phacoemulsification, foldable intraocular lens implantation and trabeculectomy in the treatment of glaucoma and cataract patients can control intraocular pressure and improve visual acuity.

关 键 词：超声乳化白内障吸除术 小梁切除术 青光跟 白内障 联合手术 

分 类 号：R775[医药卫生—眼科]