表面麻醉下联合手术治疗晚期青光眼并发白内障  

Combined surgery under topical anesthesia for patients in the latest period of glaucoma complicated with cataract

作　　者：罗晓阳[1] 郭海科[1] 

机构地区：[1]广东省人民医院眼科,广东广州510080

出　　处：《眼科新进展》2003年第4期284-285,共2页Recent Advances in Ophthalmology

摘　　要：目的 观察表面麻醉方式下行小梁切除术联合白内障超声乳化及折叠式人工晶状体植入术治疗晚期青光眼合并 白内障患者或全身情况差的青光眼患者的临床疗效。方法对35例43眼晚期青光眼合并白内障患者或合并全身病的青光眼患者,在表面麻醉下行小梁切除联合白内障超声乳化折叠式人工晶状体植入术,观察患者手术前后的眼压、视野、视力及并发症情况。结果 术后3d、1、6周、3个月平均眼压较术前明显降低,术后平均眼压18mmHg(1kPa 7.5mmHg);视力由术前0.19±0.11提高到术后3个月0.67±0.16;术后视野无缩窄。结论 表面麻醉下行小梁切除术联合白内障超声乳化术对青光眼合并白内障患者均有较好的临床疗效,对视野影响小,尤其适合全身情况差或青光眼晚期患者。Objective To evaluate the clinical effect of topical anesthesia for trabeculectomy combined with phacoemulsification and intraocular lens implantation on patients with coexisting different glaucoma complicated with cataract. Methods On 43 eyes of 35 patients with coexisting different glaucoma complicated with cataract in poor conditions or in the latest period of glaucoma, topical anesthesia were performed respectively for trabeculectomy combined with phacoemuLsificati -on and intraocular lens implantation. The postoperative IOP, visual field, visual acuity and complication were analyzed. Results Postoperatively, the IOP(at 3 days, 1,6 weeks, and 3 months) was declined by statistical means. The average IOP was lower than 18mmHg( 1kPa=7.5mmHg), and visual acuity was elevated from 0. 19+ 0. 11 to 0. 67 + 0. 16 postoperatively. Conclusion Topical anesthesia for phacoemulsification is a safe and efficient method, which has little influence on visual acuity, and it is especially suitable for patients with coexisting different glaucoma complicated with cataract in poor conditions or in the latest period of glaucoma .

关 键 词：表面麻醉 小梁切除术 超声乳化术 青光眼 白内障 

分 类 号：R776.1[医药卫生—眼科] R775.3[医药卫生—临床医学]