小切口非超声乳化白内障摘出人工晶状体植入联合小梁切除术治疗青光眼合并白内障

目的 报告小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗青光眼合并白内障的患眼术后效果.方法 收集青光眼合并白内障19例,行小切口非超声乳化白内障摘出人工晶状体植入联合小梁切除术,观察术后眼压、视力、滤过泡和并发症.结果 术后眼压在14～18mmHg之间,平均为（15.26±1.20）mmHg,与术前眼压有显著性差异（P＜0.05）;术后视力较术前均有不同程度提高,术后视力＜0.05者6眼,0.05～0.3者8眼,＞0.3者5眼;术后滤过泡Ⅰ型、Ⅱ型17眼（89.47％）,为功能型滤过泡,2眼（10.53％）滤过泡不明显;未见严重并发症.结论 小切口非超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗青光眼合并白内障是一种安全有效的方法.

Small incision non-phacoemulsification cataract extraction and IOL implantation combined with trabeculectomy for treatment of glaucoma and cataract

Objetive To report the therapeutic effect of small incision non-phacoemulsification cataract extraction and intraocular lens implantation combined with trabeculectomy for treatment of glaucoma and cataract. Methods 19 eyes with glaucoma and cataract（from 19 patients） were performed small incision non-phacoemulsification cataract extraction and IOL implantation combined with trabeculectomy. The postoperative IOP, visual acuity, condition of filtering bleb and complications were observed Results The postoperative IOP were between 14 and 18mmHg, average （15.26 ＋ 1.20） mmHg. There was a significant difference （P 〈0.05） with preoperative IOP; The postoperative visual acuity were improved significantly compared with the preoperative visual acuity （〈0.05 6 eyes, 0.05-0.3 8 eyes, 〉0.3 5 eyes）; For filtering Bleb, the functional filtration bulb （type Ⅰ and type Ⅱ） were found in 17eyes （89.47%）, no apparent filtration bulb were found in 2 eyes （10.53%）; No serious complications was found Conclusions Small incision non-phacoemulsification cataract extraction and IOL implantation combined with traheculectomy is safe and effective for the treatment of glaucoma and cataract.