联合手术治疗青光眼合并白内障的疗效观察

目的探讨白内障超声乳化人工晶体植入术联合小梁切除术治疗青光眼合并白内障的临床疗效及安全性。方法对晋江市医院2007年1月-2010年1月收治的青光眼合并白内障患者82例96只眼行超声乳化人工晶体植入术联合小梁切除术治疗，术前常规降眼压，术后测量眼压，检查视力，随访3—12个月了解眼压控制情况及视力变化情况，并观察术后并发症发生情况。结果随访3—12个月89只眼（92．71％）眼压控制正常，眼压稳定在（15．32±2．62）mmHg，7只眼（7．29％）眼压波动于22—28mmHg之间，经局部用药，半个月恢复正常。96只眼术后视力均有不用程度的提高，其中视力恢复到0．5—0．8者76眼（79．17％）。96眼人工晶状体均位正，未发生严重并发症，手术并发症主要是：术后虹膜反应和晶状体前膜7眼，13只眼术后眼前节炎性反应较重，通过治疗后均消失。结论超声乳化人工晶体植入联合小梁切除术治疗青光眼合并白内障具有眼压控制好、视力恢复快、并发症少等特点，是治疗青光眼合并白内障的理想方法。

Curative Efficacy of Combined Surgery on Glaucoma Complicated with Cataract

Objective To discuss the therapeutic efficacy and safety of phacoemulsification-intraocular lens(IOL) implantation combined with trabeculectomy for patients with glaucoma and cataract.Methods Phacoemulsification-IOL implantation combined with trabeculectomy was performed for 96 eyes of 82 patients with glaucoma complicated with cataract from January 2007 to January 2010 in our hospital.The intraocular pressure(IOP) of all patients was reduced before surgery,the IOP and visual acuity were measured after the ...