晶状体超声乳化吸出联合小梁切除术对青光眼伴有白内障的疗效

目的探讨晶状体超声乳化吸出人工晶状体植入联合小梁切除术对青光眼伴白内障的疗效。方法开角型青光眼及慢性闭角型青光眼合并白内障共35例（52眼）。行晶状体超声乳化吸出人工晶状体植入联合小梁切除术，比较分析手术前后的视力、眼压控制及术后滤泡形成情况。结果术后矫正视力≥0．3者41眼（78．85％），比术前视力≥0．3者（3眼，5．77％）明显增多。术后随访至少6个月平均眼压（14．71±4．01）mmHg，无需使用降眼压药物。术后功能型滤过泡47眼（90．38％）。无严重并发症发生。结论晶状体超声乳化吸出人工晶状体植入联合小梁切除术是一种安全、有效、便捷的治疗青光眼合并白内障的联合手术。

Clinical observation on phacoemulsification combined with trabeculectomy for glaucoma patients with cataract

Objective To evaluate the therapeutic effects of combined phacoemulsification and trabeculectomy surgery with intraocular lens implantation on treatment of glaucoma patients with cataract. Methods 35 cases （52 eyes）primary open-angle or primary angle-closure ghaucoma patients with cataract were assigned to undergo combined surgery. Best corrected visual acuity（ BCVA）, intraocular pressure （IOP） and postoperative filtering bleb formation were analyzed. Results The postoperative BCVA were ≥0.3 in 41 eyes （78.85%）. It was obviously more than that before the surgery, which were in 3 eyes（5.77% ）. After 6 months of following-up ,the mean postoperative IOP was（ 14.71 ± 4.01 ） mmHg. The function bleb was formed in 47 eyes （90.38%）. No serious postoperative complications occurred. Conclusion Phacoemulsification combined with trabeculectomy can be a safe, effective and smooth therapeutic operation for glaucoma patients with cataract.