摘要
目的 评价白内障超声乳化联合改良小梁切除术治疗青光眼合并白内障的临床疗效。方法 对 6 5例 6 5眼青光眼合并白内障患者 ,采用超声乳化联合改良小梁切除术进行治疗 :30眼经透明角膜切口行超声乳化术并植入折叠型硅胶人工晶状体 ,另 35眼经巩膜隧道切口行超声乳化术 ,植入聚甲基丙烯酸甲酯人工晶状体 ,观察术中术后并发症及视力变化。结果 术后所有患者视力均有不同程度地提高 ;术后 3月眼压 11.4 4～ 19.5 0mmHg( 1kPa =7.5mmHg) ,平均 ( 14 .2 1± 2 .13)mmHg ;术中并发症 :前房出血 ;术后并发症 :早期角膜水肿 ,前房炎性反应 ,晚期后发性白内障。结论 白内障超声乳化联合改良小梁切除术术后患者视力恢复快 ,眼压控制良好 ,手术并发症轻微 。
Objective To evaluate the clinical effects of phacoemulsification and reformed trabeculectomy for the treatment of cataract combined with glaucoma.Methods Phacoemulsification combined with reformed trabeculectomy were performed in 65 patients(65 eyes) with coexisting cataract and glaucoma.Phacoemulsification by corneal incision and foldable silicone,lens implantation were operated in 30 eyes,followed with removing vertical deep scleral stride and trabecular tissue under scleral flap.In other 35 eyes,phacoemulsification and PMMA lens implantation were performed by scleral tunnel.Intraoperative and postoperative complications as well as visual acuities were observed.Results The visual acuities in all cases were improved in different degrees during follow up period.The intraocular pressure were 11.44～19.50 mmHg(1kPa=7.5mmHg)(Mean 14.21mmHg±2.13mmHg) in postoperative three months.The complications included hyphema,corneal edema,anterior chamber inflammatory reaction and secondary cataract.Conclusion As it has advantage of recovering quickly visual acuity and controlling intraocular pressure well,phacoemulsification and reformed trabeculectomy is an ideal method in treating cataract combined with glaucoma.
出处
《眼科新进展》
CAS
2004年第2期131-132,共2页
Recent Advances in Ophthalmology
