小切口非乳化白内障青光眼联合手术疗效观察

目的　探讨小切口非超声乳化白内障囊外摘出人工晶状体植入联合小梁切除术 (三联手术 )治疗白内障合并青光眼的效果。方法　 3 1例 (3 2眼 )白内障合并青光眼施行此三联手术 ,术后观察视力、眼压、滤过泡及并发症情况。结果　随访4月 ,视力达 0 3及以上者 2 6眼 (81 2 5 % ) ,眼压控制在正常范围内 (<2 0 5 5mmHg)者 2 8眼 (87 5 0 % ) ,功能性滤过泡 2 7眼(84 3 8% ) ,无严重并发症发生。结论　小切口非乳化三联手术具有切口小 ,组织损伤轻 ,能良好控制眼压 ,视力恢复快、并发症少。一次手术即可达到增进视力 ,降低眼压的双重目的。

Therapeutic effect of combined surgery of cataract and glaucoma with small-incision non-phacoemulsification intraocular lens implantation and trabeculectomy

Objective To investigate the effect of the combined surgery with small-incision non-phacoemulsification intraocuiar lens (IOL) implantation and trabeculectomy in the treatment of glaucoma complicated with cataract. Methods Combined triple-surgery of small-incision non-phacoemulsification were performed on 31 cases (32eyes) with cataract and glaucoma, the postoperative visual acuity, intraocular pressure (IOP), filtering bleb and complications were investigated. Results After follow-up for 4 months, 26 eyes had the best corrected visual acuity (BCVA) >0.3(81.6%),28 eyes (87.5%) had the IOP< 20.55mmHg, 27 eyes(84.4%) had the functional filtering bleb, no serious complications. Conclusion Combined triple-surgery of small-incision non-phacoemulsification had the advantage of a small-incision, little tissue injury, faster visual recovery, less complications,and IOP was controlled well. The improve of visual acuity and IOP control were accomplished in one surgery .