超声乳化联合小梁切除术治疗青光眼合并白内障的疗效分析

目的探讨超声乳化联合小梁切除术治疗青光眼合并白内障的临床疗效。方法对34例（38眼）青光眼合并白内障患者行超声乳化联合小梁切除术,术后随访患者视力恢复及眼内压控制情况,处理手术并发症。结果术后所有患者视力都不同程度地提高,有29眼（76.3%）最佳矫正视力≥0.3,眼内压均降到正常范围内。术后并发症主要是角膜水肿、眼压升高及前房纤维样渗出,未见其他严重并发症。结论超声乳化联合小梁切除术治疗青光眼合并白内障通过一次手术能够恢复视力、降低眼压,且手术安全,值得临床推广应用。

Efficacy of Combined Phacoemulsification and Trabeculectomy for the Treatment of Glaucoma with Cataract

Objective To explore the clinical effect of glaucoma and cataract with ultrasonic phacoemulsification for cataract surgery combined with trabeculectomy. Methods Thirty-four patients with glaucoma and cataract were treated with ultrasonic pha- coemulsification for cataract surgery combined with trabeculectomy. Postoperative vision,pressure and complications were ob- served. Results Postoperative vision of all patients were improved, and twenty-nine （76.3%） patients＇, best corrected visual acuity I〉0.3, and intraocular pressure were reduced to within the normal range. Postoperative complications included corneal edema, increased intraocular pressure, and anterior chamber fiber-like exudate, and no other serious complications. Conclusion The surgery can restore vision, reduce intraocular pressure, and it is safe, worthy of clinical application.