手法小切口白内障青光眼联合手术48例的临床观察  

Clinical observation of manual small-incision extracapsular cataract extraction combined with trabeculectomy in 48 cases

作　　者：吴志群 罗荣帮 刘志伟 邹桂年 张建东 曾旭军 魏海敏 林树燕 池雪玲 

机构地区：[1]广东省龙川县人民医院五官科,517300

出　　处：《实用防盲技术》2011年第1期14-16,共3页Journal of Practical Preventing Blind

摘　　要：目的探讨手法小切口白内障摘出联合小梁切除术的临床疗效。方法急性闭角型青光眼合并白内障48例(52眼)在手法小切口白内障摘出术的巩膜隧道切口内作小梁切除术。观察术后视力、眼压及并发症。结果术后7天最佳矫正1.0有2眼,0.6-0.8有13眼,0.4-0.5有25眼,0.2-0.3有7眼,<0.1有5眼。术后视力平均提高3-4行,手术前后最佳矫正视力差异有统计学意义(<0.001)。术后眼压(12.20±2.45)mmHg。术后1周眼压9～18mmHg,平均降低8.25mmHg;3个月后术后眼压21mmHg以下49眼,眼压控制率为92.48%。术后眼压低于术前,差异有统计学意义(t=21.56,=0.000)。术后发生角膜内皮中度水肿3眼,前房积血2眼,后发性白内障2眼。结论手法小切口白内障摘出联合小梁切除术具有操作简单、损伤小、视力恢复快、降压效果好的优点,可有效治疗青光眼合并白内障。Objetive To evaluate the effect of manual small-incision extracapsular cataract extraction combined with trabeculectomy. Methods 48 cases（52 eyes） who suffered acute angle-closure glaucoma and cataract received trabeculectomy in the sclera incision that taken manual small-incision extracapsular cataract extraction. Postoperative visual acuity, intraocular pressure and complication were recorded. Results Postoperative best-correct visual acuity was 1.0 in 2 eyes,0.6-0.8 in 13 eyes, 0.4-0.5 in 25 eyes,0.2-0.3 in 7 eyes, less than 0.1 in 5 eyes. Average postoperative visual acuity is improved 2 lines. There were statistically significant differences between preoperative and postoperative visual acuity （P0.001）.Postoperative IOL is 12.20±2.45 mmHg. IOP was between 9-18mmHg one week after surgery. IOP was decreased about 8.25mmHg in average. IOP was less than 21mmHg 3 months after surgery. The differences had statistically significance. （t=21.56,p=0.000）. There was corneal edema in 3 eyes, hyphema in 2 eyes, after-cataract in 2 eyes. Conclusion Manual small-incision extracapsular cataract extraction combined with trabeculectomy is a convenient, safe and reliable technique.

关 键 词：青光眼 白内障 小切口 巩膜隧道切口 小梁切除 

分 类 号：R779.6[医药卫生—眼科]