闭角型青光眼合并白内障联合手术的疗效观察

目的了解超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗原发性闭角型青光眼合并白内障的疗效。方法选取原发性闭角型青光眼合并白内障患者40例行超声乳化白内障吸除人工晶状体植入联合小梁切除术,记录术后三个月患者的视力、眼压、滤过泡。采用配对t检验,与术前眼压进行比较。结果术后三个月视力0.1-0.3共8只眼,0.4～0.5共22只眼,0.6～1.0共10只眼;眼压在8.7～20.3mmHg范围,平均15.5 mmHg,同术前比较,眼压下降有统计学意义(P<0.05)。未发生严重术中及术后并发症。结论联合手术是有效的安全的治疗青光眼合并白内障的方法。

Clinical efficacy of the combined surgery on angle-closure glaucoma with cataract

Objetive To evaluate the clinical efficacy of phacoemulsification combined with intraocular posterior chamber lens implantation and trabeculectomy on primary angle-closure glaucoma with cataract. Methods Thirty-eight cases （40 eyes） with angleclosure glaucoma and cataract undertook surgery of phacoemulsifieation with intraoeular posterior chamber lens implantation and trabeculectomy. Results The mean IOP of 38 cases（40 eyes）in 3 months postoperatively was 15.52 ± 5.3 mm Hg, which was distinctly lower than that of preoperative. The postoperative BCVA （ best corrected visual acuity ） 〈0.3 was found in 8 eyes, from 0.4 to 0.5 in 22 eyes , from 0.6 to 1.0 in 10 eyes . No severe postoperative complications were revealed in all of operated cases. Conclusion Considering decreasing intraocular pressure and improving visual acuity, the combined surgery is a good operative method for patients with primary angle-closure glaucoma and cataract.