联合手术对原发性闭角型青光眼视神经影响的研究

目的小梁切除晶状体超声乳化吸出人工晶状体植入联合手术对视神经的影响。方法原发性闭角型青光眼A组，晶状体超声乳化吸出加人工晶状体植入术组40例（40眼）；B组，小梁切除术组30例（30眼）；C组联合手术组35例（35眼）；D组已先行小梁切除术，术后眼压稳定，但合并有白内障而行白内障手术组38例（38眼）。各组在术前3d、术后1周，3个月球后多普勒检测各血管的血流指标，记录视力，眼压，房角，前房深度，C／D值，测视野。结果血流动力学显示联合手术组术后有明显改善，差异有统计学意义。前房深度有明显加深，差异有统计学意义。结论青光眼和白内障联合术式，使降压效果更为确切、稳定，可以保护视神经，保护视力。

Combined operation with primary closed-angle glaucoma influence on optic nerve

Objective To study trabeculectomy combine phacoemulsification and intraocularlens implantation influence on optic nerve.Methods The study groups (primary closed-angle glaucoma) include A group (phacoemulsification and intraocular lens implantation n=40);B group (trabeculectomy n=30);C group (trabeculectomy combine phacoemulsification and intraocular lens implantation n=35);D group (phacoemulsification and intraocular lens implantation after trabeculectomy n=38).Each group were measured blood flow index with...