三联术治疗青光眼合并白内障的疗效观察

目的:探讨三联术(白内障超声乳化吸除、后房型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的临床疗效。方法:青光眼合并白内障患者72例72眼行小梁切除联合白内障超声乳化吸除联合后房型人工晶状体植入术,观察术后视力、眼压、滤过泡及并发症等情况。结果:术后72例72眼患者视力均有不同程度的提高;术后眼压控制良好,术后3,18mo平均眼压分别为15.30±2.64mmHg和16.72±2.30mmHg,术后均无严重并发症。结论:小梁切除联合白内障超声乳化吸除联合后房型人工晶状体植入术具有切口小,眼压控制良好,能获得较满意的视力。

Analysis of operative efficacy on glaucoma complicated with cataract

AIM:To evaluate the surgical selection and its effect on glaucoma complicated with cataract.·METHODS:Seventy-two eyes with coexisting glaucoma and cataract underwent trabeculectomy,phacoemulsification and intraocular lens (IOL) implantation.Visual acuity,intraocular pressure(IOP),filtration state and postoperative complications were observed.·RESULTS:The visual acuity of 72 eyes improved quickly and remarkably.The postoperative IOP was normal.3 months and 18 months after surgery,the mean IOP was 15.30±2.64mmHg and 16.72±2.30mmHg respectively.72 eyes didn’t occur with serious complications.·CONCLUSION:Trabeculectomy combined with phacoemulsification and IOL implantation could control IOP effectively and improve visual acuity quickly and remarkably.