三联手术治疗慢性闭角型青光眼的疗效分析

目的:探讨小梁切除联合白内障超声乳化人工晶状体植入术治疗原发性慢性闭角型青光眼的临床疗效分析。方法:回顾性分析2011-02/2012-02收住本院眼科的65例70眼慢性闭角型青光眼患者资料,均有不同程度的晶状体混浊,患者入院后行小梁切除联合白内障超声乳化人工晶状体植入术,术后随访至少6mo,比较分析患者术后的视力、眼压、滤过泡及并发症等情况。结果:根据《国际标准视力表》检查,术后3mo随访,矫正视力提高二行者占80%(56/70),术后6mo随访,矫正视力术后提高二行者占93%(65/70)。术后6mo随访眼压<21mmHg者占89%(62/70),功能性滤过泡占89%(62/70),术后并发症较少。结论:小梁切除联合白内障超声乳化人工晶状体植入术治疗原发性慢性闭角型青光眼,术后不但视力恢复好,降眼压效果好,而且并发症较少,是一种安全有效的手术方式。

Analysis on effects of triple surgery for chronic angle-closure glaucoma

AIM: To investigate the clinical efficacy of trabeculectomy combined with phacoemulsification and intraocular lens implantation for the treatment of primary chronic angle-closure glaucoma.

METHODS: A retrospective analysis was performed on 65 patients(70 eyes)with chronic angle-closure glaucoma and varying degrees of lens opacity admitted to our hospital ophthalmology from February 2011 to February 2012. Patients underwent trabeculectomy combined phacoemulsification and intraocular lens implantation. And after that patients were followed-up for at least 6 months. Postoperative visual acuity, intraocular pressure(IOP), and bleb complications were compared and analyzed.

RESULTS: According to the international standard eye chart check, after 3 months follow-up, visual acuity improved 1 line accounted for 80%(56/70); After 6 months follow-up, after vision correction the vision acuity that improved 1 line accounted for 93%(65/70); after 6 months of follow-up, IOP<21mmHg, accounted for 89%(62/70); functional blebs accounted for 89%(62/70), fewer postoperative complications.

CONCLUSION:Trabeculectomy combined with phacoemulsification and intraocular lens implantation in the treatment of primary chronic angle-closure glaucoma is a safe and effective surgery method and it has a good visual recovery, IOP decrease, and fewer complications.