小切口白内障摘除人工晶体植入术联合小梁切除术治疗青光眼白内障临床分析

目的：探讨小切口白内障摘除人工晶体植入术联合小梁切除术治疗青光眼白内障的临床效果。方法：选取青光眼白内障患者71例，随机分为两组，其中对照组34例，观察组37例，使其有可比性。对照组患者采取常规切口白内障摘除人工晶体植入术联合小梁切除术，观察组患者采取小切1：7手术。对两组患者术后视力、散光度以及眼压进行评价和比较。结果：术后1周、2周、4周。观察组患者均明显优于对照组，散光度明显少于对照组，两组比较差异明显，有统计学意义（P〈O．05）；两组患者术后1个月眼压变化比较差异不大，无统计学意义（P〉O．05）。结论：对青光眼白内障患者实施小切口白内障摘除人工晶体植入术联合小梁切除术在不影响眼压控制的基础上可以取得较好的视力。

Clinical Analysis on Small Incision Cataract Extraction and Intraocular Lens Implantation Combined with Trabeculectomy for Treatment of Glaucoma and Cataract

Objective ： To explore clinical effect of small incision cataract extraction and intraocular lens implantation combined with trabeculectomy for treatment of glaucoma with cataract. Method： 71 cases of glaucoma and cataract patients were selected and divided into two groups randomly, 34 cases in control group, and 37 eases in observation group, made them have comparability. Conventional incision cataract ex- traction and intraocular lens implantation combined with trabeculectomy was adopted for the patients in the control group , and small incision operation was adopted for the patients in observation group. Two groups of patients were compared on postoperative visual acuity, intraocular astigmatism and the evaluation＇. Result： After 1 week, 2 weeks, 4 weeks, the patients in the observation group were significantly better than the con- trol group, the degree of astigmatism was significantly less than that in the control group, the difference be- tween the two groups was evident, with statistical significance （ P 〈 0.05 ） ; intraocular pressure of two groups of patients had little comparison of changes in difference , there was no statistical significance （ P 〉 0.05 ）. Conclusion： Operating glaucoma and cataract patients with small incision cataract extraction and intraoeular lens implantation combined with trabeeulectomy have better vision based on no effects on intraoeular pressure control.