青光眼白内障联合手术治疗急性闭角型青光眼

目的观察晶状体超声乳化吸出、人工晶状体植入联合小梁切除术治疗急性闭角型青光眼的疗效。方法急性闭角型青光眼39例（46只眼），进行巩膜瓣下隧道切口行晶状体超声乳化吸出、后房型人工晶状体植入联合小梁切除术。随访1个月～1年，对比术前、术后的视力，前房深度和眼压变化。结果46眼最佳矫正视力较手术前提升，术后眼压波动于正常范围，前房深度较术前增加。术后出现角膜水肿39眼，虹膜反应和晶状体前膜11眼，经积极治疗后明显改善。结论青光眼白内障联合手术疗效确切，虽然也存在一定的并发症，但及时处理并发症，仍可获得良好疗效。

Clinical observation of cataract combined with antiglaucoma surgery in the management of acute an- gle closure glaucoma

Objective To detect the effects of cataract phacoemulsification, intraocular lens im- plantation and trabeculectomy for acute angle closure glaucoma （AACG）. Methods 46 eyes with AACG were treated by cataract phacoemulsifieation, intraoeular lens implantation and trabeeuleetomy. Preoperative and postoperative visual acuities, the depth of anterior chamber, and intraocular pressure （IOP）of each eye were recorded with following- up ranged from 1 month to 1 year. Results The visual acuities of 46 eyes were improved. The IOP in all of the eyes was normal and the depth of anterior chamber was improved. After surgery, 39 eyes had corneal edema; 11 eyes had uveal reaction and IOL membrane. All complications had been obviously improved after treatment. Conclusion The curative effect of anti-glaucoma combined with cataract operation is good. Although there are some complications, the operation is satisfactory if treated well. So it is an ideal operative method in the management of AACG.