超声乳化白内障吸除联合小梁切除术治疗闭角型青光眼合并白内障

目的：探讨双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障的临床疗效。方法：回顾分析双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障患者65例70眼,术后随访3~12mo,观察视力、眼压及并发症的发生。
　　结果：术后患者视力≤0.1者2眼,>0.1~0.3者6眼,0.4~0.8者60眼,≥1.0者2眼,术后眼压在正常范围内(<21mmHg)者69眼,1眼术后出现浅前房,经治疗改善。
　　结论：双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障手术成功率高,疗效佳,是一种理想的手术方式。

Clinical observation of phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients

AIM: To evaluate the clinical effects of dual-incision phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients.

METHODS: To observe the visual acuity, intraocular pressure and complications for 3-12mo after surgery as a retrospective study of 65 patients(70 eyes)with cataract and glaucoma.

RESULTS: The visual acuity of 2 eyes was lower than 0.1, 6 eyes were ranged from 0.1 to 0.3, 60 eyes were from 0.4 to 0.8, 2 eyes were over 1.0. The postoperative intraocular pressure of 26 eyes were effective controlled. The postoperative shallow anterior chamber occurred in 1 eye.

CONCLUSION: It is an ideal treatment to take dual-incision phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients and it shows better effects than normal operation method.