双手微小切口白内障超声乳化联合小梁切除术临床疗效观察  

Clinical therapeutic study on bimanual inicrophacoemulsification combined with trabeculectomy

作　　者：孙光丽[1] 唐于荣[1] 沈烨宇[1] 刘文斌[1] 

机构地区：[1]江苏省南京医科大学附属明基医院眼科,210019

出　　处：《实用防盲技术》2011年第4期145-147,177,共4页Journal of Practical Preventing Blind

摘　　要：目的探讨双手微小切口白内障超声乳化联合小梁切除术在青光眼白内障联合手术中的疗效。方法回顾性分析我院2008年09月～2010年06月行双手微小切口白内障超声乳化联合小梁切除术的30例患者的临床资料,观察手术后眼压、视力变化和并发症情况。结果 30眼中0.02～0.1者3眼(10.00%);0.1～0.3者8眼(26.67%);0.3～0.5者12眼(40%);0.5～0.8者5眼(16.67%),其中>1.0者2眼(6.66%);术后平均眼压稳定在(13.57±3.31)mmHg;术后出现角膜水肿2眼,虹膜反应和晶状体前渗出膜6眼,后囊膜混浊3眼,经积极治疗后明显改善。结论微小切口白内障超声乳化联合青光眼小梁切除手术对急性闭角型青光眼疗效较为确切,虽然也存在一定的并发症,但及时处理并发症,仍可获得满意疗效,是一种理想的手术方式。Objective To evaluate the clinical effect of bimanual microphacoemulsification combined with trabeculectomy in the operation of glaucoma with cataract.Methods The data of 30 patients was retrospectively analyzed,who underwent bimanual microphacoemulsification combined with trabeculectomy in our hospital from September of 2008 to June of 2010.And the postoperative condition of intraocular pressure,visual acuity and complications were observed.Results In all the 30 patients,the visual acuity of 3 eyes（10.00%） ranged from 0.02 to 0.1;8 eyes（26.67%） from 0.1 to 0.3;12 eyes（40%） from 0.3 to 0.5;5 eyes（16.67%） from 0.5 to 0.8; and 2 eyes（6.66%）exeeeded l.O.The average postoperative intraocular pressure（I0P） maintained（13.57±3.31）mmHg.After surgery, there were 2 eyes with corneal edema,6 eyes with iris inflammation and pupillary exudative membrane,and 3 eyes with posterior capsule opacification.All the complications had been improved after therapy.Conclusions The therapeutic effect of bimanual microphacoemulsification combined with trabeculectomy for acute angle-closure glaucoma is good.Although it has some complications, with timely treatment,it is a valuable therapeutic method.

关 键 词：微小切口白内障超声乳化 小梁切除术 

分 类 号：R779.6[医药卫生—眼科]