超声乳化联合小梁切除术治疗青光眼合并白内障  

Phacoemulsification and Intraocular Lens Implantation Combined With Trabeculectomy Initial Clinical Experience and Early Outcomes

作　　者：詹田兰 万芬 

机构地区：[1]湖北省武汉市东西湖区人民医院眼科,湖北武汉430040

出　　处：《中外医疗》2012年第22期11-12,共2页China & Foreign Medical Treatment

摘　　要：目的探讨超声乳化联合小梁切除术治疗青光眼合并白内障的临床疗效。方法回顾性分析24例26眼青光眼合并白内障患者行超声乳化白内障吸除人工晶体植入联合小梁切除术后的临床效果。术后随访的3～36个月,观察术后视力、眼压、滤过泡及并发症情况。结果术后最佳矫正视力:≥0.5者18眼(69.20%),0.1～0.4者8眼(30.8%)。术后眼压24眼控制在21mmHg以下,其中20眼在15mmHg以下,术后随访期内2眼短期使用降眼压药。术后6个月功能性滤过泡23眼(88.46%)。术后并发症主要是葡萄膜反应和短暂角膜水肿。结论应用超声乳化白内障吸除人工晶体植入联合小梁切除术治疗青光眼合并白内障的患者时,能够有效控制眼压、提高视力,是目前比较理想的术式。Objective To evaluate the effects of phacoemulsifieation and intraocular lens implantation combined with trabeeuleetomy for glaucoma and cataract. Methods A retrospective analysis was performed on 26 eyea of 24 cases after a combined phaeo/ trabeculectomy procedure, followed up for an average of 3 to 36 months for vision, intraocular pressure, visual filtering blebs and possible ocular complications. Results Postoperative outcomes： best corrected vision, 18 eyes ≥0.5 （69.20%）, 0.1-0.4 （8 eye, 30.8%）. Postoperative IOP of all 26 eyes were below 21mm Hg, 20 eyes were below 15 mm Hg. 2 eyes required glaucoma medications. Filtering blebs existed in 23 eyes （88.46%）after phaeoemulsification in 6 months. The most common complications were Uveal response and transient cornea] edema, Corlchlsion Trabeculectomy combjnation with phaeoemulsifieation, is an innovative and promising approach especially for patients with glaucoma and cataract.

关 键 词：青光眼 白内障 超声乳化 小梁切除术 

分 类 号：R362[医药卫生—病理学]