单切口和双切口青光眼白内障联合手术的临床疗效观察  

Comparison of single incision and double incision phacotrabeculectomy

作　　者：查明轩 张大传[1] 程红[1] 张静[1] 吕平 Zha Mingxuan;Zhang Dachuan;Cheng Hong;Zhang Jing;Lv Ping(Hefei Third People＇s Hospital,Hefei ,Anhui 230022, Chin)

机构地区：[1]合肥市第三人民医院眼科,230022

出　　处：《临床眼科杂志》2018年第2期110-112,共3页Journal of Clinical Ophthalmology

摘　　要：目的比较单、双切口行青光眼白内障联合手术的临床效果。方法将原发性闭角型青光眼合并白内障患者42例(42只眼)随机分为两组。观察组:22只眼行双切口小梁切除联合白内障超声乳化摘除人工晶状体植入术。对照组:20只眼行单切口小梁切除联合白内障超声乳化吸除人工晶状体植入术。术后观察两组患者的眼压、视力及滤过泡等情况,随访3~6个月。结果两组病例术前视力均<0.3,术后视力>0.3单切口组16只眼,双切口组15只眼,两者差异无统计学意义(P>0.05)。术后6个月眼压,单切口组(15.6±4.5)mm Hg,双切口组(16.2±4.1)mm Hg,两者差异无统计学意义(P>0.05)。术后均可见功能性滤过泡,术中及术后未发现严重并发症。结论单、双切口行青光眼白内障联合手术均具有良好的降眼压、提高视力及术后功能滤泡的维持。Objective To compare the effects of single incision and double incision in phacotrabeculectomy on intraocular pressure control. Methods 42 primary angle-closure glaucoma eyes complicated with cataract were randomly divided into two groups. Observation group： 22 eyes with double incision trabeculectomy,cataract phacoemulsification and intraocular lens implantation. Control group： 20 eyes underwent single incision surgeries. Postoperative intraocular pressure,visual acuity and filtration,etc. were followed up for 3 ~ 6 months. Results Preoperative visual acuity was less than0. 3 in both groups. visual acuity improved to over 0. 3 in 16 eyes treated with double incision surgeries and in 15 eyes with single incision surgeries,and there was no significant difference between the 2 groups. Postoperative intraocular pressure was 15. 6 ± 4. 5 mm Hg in patients received single incision and 16. 2 ± 4. 1 mm Hg in patients received double incisions,and there was no significant difference. No serious complications in either group. Conclusions Single incision and double incision phacotrabeculectomy resulted in significant decrease of intraocular pressure,improved visual acuity and functional follicle maintenance.

关 键 词：小梁切除术 超声乳化白内障吸除术 联合手术 青光眼 白内障 

分 类 号：R779.6[医药卫生—眼科]