摘要
目的观察改良的反眉弓单切口非超声乳化白内障摘出人工晶状体植入联合小梁切除术（以下简称联合手术）治疗白内障合并青光眼的效果。方法对58例（63眼）白内障合并青光眼施行联合手术,术后随访3-9个月,观察视力、眼压、滤过泡及并发症情况。结果视力〉0.3者48眼（76.19%）,眼压〈20mmHg者60眼（95.24%）;3眼术后眼压波动在24mmHg左右,用0.5%噻吗酰胺滴眼液后眼压控制在正常范围;功能性滤过泡（包括I型、Ⅱ型）57眼（90.48%）。无严重并发症发生。结论青光眼并存白内障的情况下采用联合手术是目前最佳的手术治疗方法,不但能良好地控制眼压,迅速恢复视力,并且并发症少,手术适应证广。该手术不需要昂贵的超声乳化设备,简单易行容易掌握,远期效果良好。
Objective To investigate the effect of combined surgery of improved reverse camber single small incision cataract extraction,introcular lens（IOL） implantation and trabeculectomy for the treatment of cataract and glaucoma. Methods Combined surgery were performed on 58 cases （63 eyes） of cataract with glaucoma,the postoperative visual acuity, intraocular pressure（IOP）,filtering bleb and complications were investigated after follow-up for 3-9 months. Results 48 eyes had the best corrected visual acuity〉 0.3（76.19%）,60 eyes（95.24%） had the IOP 〈20mmHg.2 cases（3 eyes）IOP were about 24 mmHg postoperatively and could be controlled in normal range by 0.5% timolol.57 eyes（90.48%） had the functional filtering blet（including I and Ⅱtype）.All cases had no severe complications. Conclusion It was a best technique to therapy cataract and glaucoma by applying combined surgery.Combined surgery could control IOP effectively and restore visual acuity early with less complication. Combined surgery need no expensive phacoemulsification equipment.The technique is easy to grasp.The effect of after sight is best.
出处
《眼外伤职业眼病杂志》
2010年第5期343-345,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
白内障
青光眼
联合手术
小切口
cataract
glaucoma
combined surgery
small incision
作者简介
吴艺（1965-），男，广东广州人。副主任医师，博士。通信作者：吴艺，E-mail：will-wu@tom．com
