剥脱综合征并发白内障青光眼行超声乳化人工晶状体植入术联合小梁切除术的疗效观察

目的 观察剥脱综合征并发白内障青光眼患者行白内障超声乳化人工晶状体植入术联合小梁切除术的临床效果。方法 对同时合并白内障及青光眼的剥脱综合征7例(11只眼)，行白内障超声乳化人工晶状体植入术联合小梁切除术，术后随诊观察1年。结果 在术中仅有1只眼出现晶状体后囊破裂、玻璃体丢失，占9．1％；术后随诊1年。11只眼眼压均控制满意，占100％。视力在0．5者1只眼及以上者8只眼．占72．7％。结论 白内障超声乳化人工晶状体植入术联合小梁切除术。对同时合并白内障及青光眼的剥脱综合征患者来说是安全、有效的，部分患者术后视力欠佳是由于青光眼损害所致。

Observation on clinical effects of phacoemulsification accompanied by trabeculectomy for exfoliation syndrome

Objectieve To observe and evaluate the clinical effects of phacoemulsification accompanied by trabeculectomy for exfoliation syndrome.Methods Phacoemulsification accompanied by trabeculectomy were performed on 11 eyes (7 cases) of exfoliation syndrome complicated with cataract and glaucoma,the regular following up lasted for 1 year.Results During poeration,posterior capsular tear and vitreous body loss occurred on 1 eye (9.1%);Intraocular pressure were well under control in 11 eyes (100%),visual acuity returned to 0.5 or better in 8 eyes (72.7%),one year after operation.Conclusion Phacoemulsification accompanied by trabeculectomy is a safe and effective method to treat exfoliation syndrome complicated with cataract and glaucoma,due to the damage of glaucoma,some patients didn't get a good recovery of visual acuity.