青光眼白内障联合手术118眼临床回顾分析

目的探讨白内障超声乳化吸出联合人工晶体植入术联合青光眼小梁切除术的疗效。方法回顾性分析本院2004年9月至2007年6月行白内障超声乳化联合小梁切除术118眼的临床资料,观察手术后眼压、视力变化和并发症情况。结果 118眼中视力0.05～0.1者4眼(3.39%),0.1～0.3者18眼(15.25%),0.3～0.5者40眼(33.40%),0.5～0.8者52眼(44.06%),>1.0者4眼(3.39%);术后平均眼压12.35(s=1.65 mmHg;术后出现角膜水肿14眼,虹膜反应和晶状体前膜10眼,后囊膜混浊4眼,经治疗后视力明显改善。结论青光眼白内障联合手术疗效确切,虽然存在一定的并发症,但及时处理后,仍可获得满意疗效,是一种理想的手术方式。

Clinical retrospective analysis of a combined surgery of glaucoma and cataract:a report of 118 eyes

Objective To explore the effects of phacoemulsification and intraocular lens(iol) implantation combined with artificial glaucoma trabeculectomy.Methods The clinical data of 118 eyes that received the phacoemulsification and intraocular lens(iol) implantation combined with artificial glaucoma trabeculectomy were analyzed retrospectively from September 2004 to June 2007.Results After the surgery,in the vision of the 118 eyes,there were 4 eyes of 0.05～0.1(3.39%),18 eyes of 0.1～0.3(15.25%),40 eyes of 0.3～0.5(33.40%),52 eyes of 0.5～0.8(44.06%),and 4 eyes of > 1.0(3.39%).The average intraocular pressure was 12.35(s=1.65) mmHg.Fourteen eyes had postoperative corneal edema,10 eyes had iris reaction and anterior lens,and 4 eyes had capsular opacity membrane,but after treatment,their eyesight obviously improved.Conclusions The combined surgery of glaucoma and cataract is effective though there are some complications that could be relieved after the treatment in time,so it is a kind of ideal operation.