小切口白内障摘除及人工晶状体植入联合青光眼小梁切除术的临床疗效观察  

Clinical observation of combined surgery of cateract and glaucoma with improved small incision introcularv lens implantation and trabeculectom

作　　者：徐勇玲[1] 陈凡[1] 施凌平[1] 郝玉萍[1] 方文丽[1] 潘善刚[1] 

机构地区：[1]安徽省安庆市立医院眼科,246001

出　　处：《临床眼科杂志》2012年第2期165-167,共3页Journal of Clinical Ophthalmology

摘　　要：目的观察改良小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗白内障合并青光眼的疗效。方法对39例(43只眼)白内障合并青光眼患者施行改良小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术,术后随访2个月至1年,观察视力、眼压、滤过泡及并发症情况。结果视力>0.3者32只眼(74.4%),<20 mm Hg者40只眼(93%);3只眼术后眼压波动在24 mm Hg左右,用0.5%噻吗酰胺滴眼液后眼压控制在正常范围;功能型滤过泡(包括Ⅰ型、Ⅱ型)37只眼(86%)。无严重并发症。结论青光眼合并白内障采用联合手术能有效控制眼压,恢复视力快,并发症少,手术适应证广。Objective To investigate the effect of combined surgery of improved small incision introcular lens（IOL）implantation and trabeculectom for the treatment of cateract and glaucoma.Methods Combined surgery were performed on 39 cases（43 eyes）of cataract with glaucoma.The postoperative visual acuity,interocular pressure（IOP）,filtering blet and complications were investigated after follow-up for 2 months^1 year.Results 32 eyes had the best corrected visual acuity0.3（74.4%）.40 eyes（93.00%） had the IOP 20 mm Hg,3 eyes TOP were about 24 mm Hg postoperatively and was controlled in normal range by 0.5% timolol.37eyes（86%） had the functional filtering blet（includingⅠandⅡtype）.All cases had no severe complications.Conclusion Combined surgery could control IOP effectively and restore visual acuity early with less complication.

关 键 词：白内障青光眼联合手术 小切口 

分 类 号：R779.6[医药卫生—眼科]