青光眼合并白内障的不同联合手术方式疗效比较  

Effect analysis of different combined surgical methods in the treatment of patients with glaucoma complicated with cataract

作　　者：丁洁[1] DING Jie(Department of Ophthalmology,Baoding Second Central Hospital,Baoding,Hebei,072750)

机构地区：[1]河北省保定市第二中心医院眼科,河北保定072750

出　　处：《实用临床医药杂志》2018年第3期79-81,85,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨不同联合手术方式治疗青光眼合并白内障的疗效。方法选取青光眼合并白内障患者120例(141眼),按照手术方式分为青光眼小梁切除术联合白内障超声乳化摘除及人工晶体植入术(观察组)和青光眼小梁切除术联合白内障囊外摘除及人工晶体植入术(对照组),比较2组手术效果和术后并发症发生情况。结果治疗30 d后,2组患者的眼压均较治疗前显著改善(P<0.05),观察组术后角膜散光显著低于对照组(P<0.05)。术后30 d,2组视力均较治疗前显著提高,观察组视力显著优于对照组(P<0.05)。术后30 d,观察组患者眼部浅前房形成发生率为11.67%,显著低于对照组的36.67%(P<0.05)。术后60 d,观察组3例出现角膜水肿,前房炎症2例,并发症发生率为8.33%;对照组出现角膜水肿5例,前房炎症7例,并发症发生率为20%。结论采用青光眼小梁切除术联合白内障超声乳化摘除及人工晶体植入术治疗青光眼合并白内障,可有效降低眼压,控制散光,提高视力。Objective To explore the effect of different combined surgical methods on the treatment of patients with glaucoma complicated with cataract.Methods Totally 120 patients with glaucoma complicated with cataract(141 eyes)were divided into observation group(glaucoma trabeculectomy plus cataract phacoemulsification and intraocular lens implantation)and control group(glaucoma trabeculectomy plus extracapsular cataract extraction and intraocular lens implantation).The operation effect and the incidence of complications were compared between two groups.Results After treatment of 30 days,the intraocular pressure in both groups significantly improved(P<0.05),and the corneal astigmatism in the observation group was significantly lower than that in the control group(P<0.05).After 30 days,the visual acuity of the two groups was significantly higher than that before the treatment,and the visual acuity of the observation group was significantly better than that of the control group(P<0.05).After 30 days,the incidence of shallow anterior chamber formation in the observation group was 11.67%,which was significantly lower than 36.67%in the control group(P<0.05).60 days after operation,there were 3 cases of corneal edema and 2 cases of anterior chamber inflammation in the observation group,and the incidence rate of complications was 8.33%.In the control group,there were 5 cases of corneal edema and 7 cases of anterior chamber inflammation,and the incidence rate of complications was 20%.Conclusion Application of intraocular lens implantation plus glaucoma trabeculectomy and cataract phacoemulsification is effective in the treatment of patients with glaucoma complicated with cataract,which can effectively reduce intraocular pressure,control astigmatism,and improve vision.

关 键 词：青光眼 白内障 青光眼小梁切除术 白内障超声乳化摘除术 人工晶状体植入术 白内障囊外摘除术 眼压 视力 散光 

分 类 号：R775[医药卫生—眼科]