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闭角型青光眼伴白内障联合手术的临床观察
引用本文:秦富强,;刘德成. 闭角型青光眼伴白内障联合手术的临床观察[J]. 眼外伤职业眼病杂志, 2014, 0(6): 474-475
作者姓名:秦富强,  刘德成
作者单位:[1]林州市中医院眼科,河南456550; [2]郑州市第七人民医院眼科,河南456550;
摘    要:目的 观察超声乳化联合小梁切除术治疗闭角型青光眼伴白内障的临床疗效.方法 32例(48眼)患者行白内障超声乳化吸出及后房型折叠人工晶状体植入联合小梁切除术,术后随访6个月,分析术后眼压、视力等情况.结果 术前眼压30~45 mmHg(1 mmHg =0.133 kPa),术后随访最终时眼压8 ~ 15 mmHg,术后矫正视力0.4 ~1.0者30眼(62.5%).结论 超声乳化吸出后房型人工晶状体植入联合小梁切除术治疗闭角型青光眼伴发白内障安全有效.

关 键 词:白内障  青光眼  超声乳化  小梁切除术

Clinical observation on combined operation for angle closure glaucoma with cataract
Affiliation:Qin Fuqiang, Liu Decheng( Department of Ophthalmology, Linzhou Hospital of Traditional Chinese Medicine, Linzhou, Henan 456650, China)
Abstract:Objective To observe the effect of phacoemulsification combined with trabeculectomy for angle closure glaucoma with cataract.Methods 48 eys of 32 cases underwent phacoemulsification and implantation of posterior chamber foldable intraocular lens combined with trabeculectomy.The postoperative follow-up was 6 months.The visual acuity and intraocular pressure were analyzed.Results The preoperative intraocular pressure was 30-45 mmHg (1 mmHg =0.133 kPa).The postoperative intraocular pressure was 8-15 mmHg at the final visit.The corrected visual acuity was at 〉0.3 in 30 eyes (62.5%).Conclusion For angle closure glaucoma with cataract,phacoemulsification and implantation of posterior chamber foldable intraocular lens combined with trabeculectomy are safe and effective.
Keywords:Cataract  Glaucoma  Phacoemulsification  Trabeculectomy
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