小切口手法非超乳三联术治疗青光眼合并白内障在基层医院的应用

目的探讨小切口白内障囊外摘除联合人工晶状体植入及小梁切除术治疗急性闭角型青光眼合并白内障的临床疗效。方法选择41例41只眼青光眼合并老年性白内障患者作为研究对象,均接受小切口白内障囊外摘除联合人工晶状体植入及小梁切除术治疗,观察手术前后视力、眼压、术后并发症。结果术后随访6个月,平均眼压由术前的31.5±6.5mm Hg降至11.2±3.5mm Hg,差异有统计学意义（P〈0.05）;视力均有不同程度提高,差异有统计学意义（P〈0.05）。所有患者无严重并发症发生。结论白内障囊外摘除联合人工晶状体植入及小梁切除术治疗急性闭角型青光眼合并老年性白内障不仅安全有效、而且术后并发症轻微,值得临床推广应用。

The clinical application of small-incision extracapsular cataract extraction,combined with posterior chamber lens implantation and trabeculectomy for the angle-closure glaucoma patients with cataract in inferior hospital

Objetive To investigate the clinical effects of small-incision extracapsular cataract extraction, combined with posterior chamber lens implantation and trabeculectomy in the management of angle-closure glaucoma patients with cataract. Method 41 cases（ 41eyes） of angle-closure glaucoma patients with senile cataract underwent the operation of small-incision extracapsular cataract extraction, posterior chamber lens implantation and trabeculectomy. The visual acuity, intraocular pressure and postoperative complications were observed. Result The patients were followed up for 6 months. The mean IOP significantly decreased from 31.5±6.5mm Hg to 11.2±3.5mm Hg postoperatively（ P〈0. 05）. The postoperative visual acuity became better in different degrees in all eyes（ P〈0. 05）.No serious complications occurred in all cases. Conclusion The operation of small-incision extracapsular cataract extraction, posterior chamber lens implantation and trabeculectomy for the angle-closure glaucoma patients with cataract is safe and effective with minor postoperative complications, which deserves clinical application and recommendation.