双切口白内障超声乳化人工晶状体植入联合小梁切除术疗效分析

目的探讨双切口白内障超声乳化人工晶状体植入联合小梁切除术的临床效果。方法双切口白内障超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障患者24例（32只眼）;患者术后随访6个月,观察视力、眼压及并发症情况。结果 32只眼中视力﹤0.1者1只眼（3.13%）,0.1～0.3者2只眼（6.25%）,0.3～0.8者25只眼（78.12%）,其中〉1.0者4只眼（12.5%）;术后眼压控制在正常范围内（〈21 mm Hg）者30只眼;2只眼术后术后出现浅前房伴低眼压（〈9 mm Hg）,经积极治疗后明显改善。结论双切口白内障超声乳化人工晶状体植入联合小梁切除术治疗青光眼白内障的联合手术操作简便、疗效佳,是一种理想的手术方式。

Clinical effect about the opreation of dual-incision phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients

Objective To evaluate the clinical effects about the opreation of dual-incision phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients.Methods Tewety-four patients(32 eyes)with cataract and glaucoma were included in this retrospective study for two years.The follow up time was 1~3 months after surgery,observe the eyesight、pressure and complications.Results Totally there were 32 individual eyes,in which the eye eyesight of 1eye(3.13%)Lower than 0.1,2 eyes(6.25%) ranged from 0.1 to 0.3;25 eyes(78.12%)from 0.3 to 0.8;4 eyes(12.5%)exceeded 1.0.30 eyes got effective control on postoperative intraocular pressure,Postoperative shallow anterior chamber in 2 eyes,and postoperative intraocular pressure lower than normal(<9 mm Hg);All above had been obviously improved.Conclusion It is an ideal operation that dual-incision phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients,and has the advantages of simple operation,good treatment effect.