| 超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障的疗效观察 |
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| 引用本文： | 吴文洁,张凤梅.超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障的疗效观察[J].眼科新进展,2011,31(8):782-784. |
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| 作者姓名： | 吴文洁 张凤梅 |
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| 作者单位： | 河南省中医院眼科,河南省郑州市,450002 |
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| 摘 要： | 目的观察超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障的临床疗效。方法回顾性分析我院2005年6月至2009年12月青光眼合并白内障患者32例(32眼),均采用超声乳化人工晶状体植入联合小梁切除术治疗,观察患者术后1d、1周、1个月及6个月的眼压、视力情况,另外记录视野、滤过泡及并发症情况。结果患者术后1d、1周、1个月及6个月的平均眼压分别为(19.2±1.6)mmHg(1kPa=7.5mmHg)、(18.4±1.4)mmHg、(15.6±0.8)mmHg、(15.0±0.7)mm-Hg,与术前(23.2±1.1)mmHg比较,差异均有统计学意义(均为P<0.05)。术前平均视力为0.12±0.08,术后1d、1周、1个月及6个月分别为0.26±0.09、0.28±0.09、0.32±0.12、0.45±0.18;术后视力较术前明显提高,差异均有统计学意义(均为P<0.05)。术前、术后平均视野缺损值与平均模式标准差值差异均无统计学意义(均为P>0.05)。术后形成功能型滤过泡22眼,非功能型10眼。术中出现晶状体后囊膜破裂2眼,均未出现玻璃体脱出等其他并发症。结论超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障既可降低眼压、改善视力,又能减少患者的经济负担,且成功率较高,并发症少。
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| 关 键 词： | 青光眼合并白内障 超声乳化人工晶状体植入术 小梁切除术 |
Phacoemulsification and intraocular lens implantation combined with trabeculectomy for glaucoma and cataract |
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| WU Wen-Jie,ZHANG Feng-Mei.Phacoemulsification and intraocular lens implantation combined with trabeculectomy for glaucoma and cataract[J].Recent Advances in Ophthalmology,2011,31(8):782-784. |
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| Authors: | WU Wen-Jie ZHANG Feng-Mei |
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| Institution: | WU Wen-Jie,ZHANG Feng-Mei Department of Ophthalmology,Henan Provincal Hospital of Traditional Chinese Medicine,Zhengzhou 450002,Henan Province,China |
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| Abstract: | Objective To investigate the therapeutic effect of phacoemulsification and intraocular lens implantation combined with trabeculectomy for glaucoma and cataract.Methods Thirty-two patients(32 eyes) with glaucoma and cataract from June 2005 to December 2009 in our hospital were retrospectively analyzed,all cases received phacoemulsification and intraocular lens implantation combined with trabeculectomy,the intraocular pressure and visual acuity at postoperative 1 day,1 week,1 month and 6 months were observed,... |
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| Keywords: | glaucoma and cataract phacoemulsification and intraocular lens implantation trabeculectomy |
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