小切口白内障青光眼联合手术临床观察  

Clinical observation of combined surgery of cataract and glaucom a with small incision in traocularlen s miplantation and trabeculectom

作　　者：梁裕琴 向浩天[2] 

机构地区：[1]四川省凉山州第二人民医院眼科,615000 [2]四川大学华西医院眼科,成都610041

出　　处：《重庆医学》2014年第13期1576-1578,共3页Chongqing medicine

摘　　要：目的：探讨小切口白内障非超声乳化囊外摘出后房型人工晶状体囊袋内植入联合小梁切除术（以下简称青白联合手术）治疗青光眼合并白内障的手术方法及临床疗效。方法对45例47眼青光眼合并白内障患者施行青白联合手术，术后观察术眼视力、眼压、滤过泡及术后并发症情况，术后随访3～24个月。结果术前术后视力及眼压比较差异有统计学意义（P＜0．05），术后视力均较术前有不同程度的提高，小于0．02°5眼，占10．64％；0．02°～0．60°30眼，占63．83％；大于0．60°12眼，占25．53％；眼压控制在正常范围者39眼，占83．00％；8眼术后眼压在26mmHg左右。40眼（85．00％）形成弥散扁平的功能性滤过。其中，Ⅰ型滤过泡18眼，Ⅱ型滤过泡32眼。并发症：暂时性角膜水肿12眼，早期浅前房4眼，前房出血3眼，人工晶状体夹持1眼。术中术后未见严重的并发症。结论青白联合手术治疗青光眼合并白内障可以有效控制眼压和恢复有用视力，并发症少，操作简单，安全，投入少，费用低，适合在基层医院开展。Objective To explore non-phacoemulsification small incision extracapsular cataract extraction,the capsular bag IOL implantation and trabeculectomy（hereinafter referred to as plainer combined surgery）treatment of glaucoma and cataract surgical method and clinical efficacy.Methods Operated to 45 patients with 47 white combined glaucoma and cataract combined surgery,in-traoperative visual acuity,intraocular pressure,bleb,and postoperative complications,followed postoperative up for 3 months to 24 months.Results The preoperative and postoperative visual acuity and intraocular pressure difference was statistically significant （P〈0.05）,compared with preoperative visual acuity improved to varying degrees,〈0.02°,5 eyes,accounting for 10.64%;0.02°-0.60°30 eyes,accounting for 63.83%;〉 0.60°12 eyes,accounting for 25.53%;IOP control in the normal range by 39,accounting for 83.00%;8 postoperative IOP at 26 mm Hg or so.40 eyes（85.00%）to form a flat diffuse functional filtration.Where type blebⅠ 18,type blebⅡ 32.Complications：transient corneal edema 12,early shallow anterior chamber 4,hyphema 3,holding an intraocu-lar lens.No serious intraoperative and postoperative complications.Conclusion The surgical treatment of glaucoma and cataracts can control intraocular pressure effectively and restore useful vision with fewer complications,simple,safe,less investment,low cost,suitable by using in primary hospital.

关 键 词：白内障 青光眼 联合手术 

分 类 号：R779.6[医药卫生—眼科]