联合手术治疗急性闭角型青光眼合并白内障  

Combined surgery for acute angle-closure glaucoma surgery

作　　者：郝黎[1] 

机构地区：[1]遂平县人民医院眼科,河南遂平463100

出　　处：《中华眼外伤职业眼病杂志》2013年第7期524-526,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察联合手术治疗急性闭角型青光眼合并白内障的临床效果。方法38例（50眼）急性闭角型青光眼合并白内障行超声乳化人工晶状体植人联合小梁切除术，随访6～12个月。结果手术后视力均较术前有不同程度提高。术后最佳矫正视力≤0．2者9眼（18．00％），〉0．2者41眼（82．00％）。术后眼压控制在正常范围内者48眼（96．00％）。术后功能性滤过泡为48眼（96．00％）。无严重并发症发生。结论联合手术治疗急性闭角型青光眼合并白内障是有效的。Objective To observe the efficacy of the phacoemulsification and intraocular lens im- plantation with trabeculectomy for acute angle-closure glaucoma with cataract. Methods 38 patients （50 eyes） of acute angle-closure glaucoma with cataract had received phacoemulsification and intraocular lens implantation combined with trabeeulectomy. The follow-up ranged from 6 to 12 months. Results Visual a- cuity was increased after operation. The postoperative best corrected visual acuity was ≤ 0.2 in 9 eyes （18.00%）, 〉 0.2 in 41 eyes （82.00%）. Postoperative intraocular pressure was controlled in normal range in 48 eyes （96.00%）. Postoperative functional filtering bleb was obtained in 48 eyes （96.00%）. No severe complication occurred. Conclusion The phacoemulsification and intraocular lens implantation com- bined with trabeculeetomy is valuable for acute angle-closure glaucoma with cataract.

关 键 词：青光眼 闭角型 急性 白内障 超声乳化术 小梁切除术 晶状体 人工 

分 类 号：R779.6[医药卫生—眼科]