小切口白内障摘除联合小梁切除术治疗PACG合并白内障

目的：观察小切口白内障摘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(primary angle-closure glaucoma，PACG)合并白内障的疗效。

方法：选取44例52眼PACG合并白内障病例，均采用小切口白内障摘除人工晶状体植入联合小梁切除术，观察患者手术前后的视力、眼压及术后并发症情况。

结果：术后与术前相比，术后视力显著改善，眼压明显降低，结果具有统计学意义(P<0.05)。52眼手术均由同一术者完成，手术过程顺利，术后出现前房炎症细胞反应6眼，前房纤维素样渗出物3眼，经过散瞳、糖皮质激素及非甾体类眼药水滴眼治疗后吸收，浅前房2眼，经散瞳、加压包扎后恢复，未出现恶性青光眼、睫状体脱离等并发症。

结论：小切口白内障摘除人工晶状体植入联合小梁切除术治疗PACG合并白内障可靠性高，治疗效果好，手术方法简单易学，适合在基层推广应用。

Small-incision cataract extraction combined trabeculectomy for primary angle-closure glaucoma with cataract

AIM: To observe the curative effect of treating small-incision cataract extraction by intraocular lens implantation combined with trabeculectomy for primary angle-closure glaucoma with cataract.

METHODS: Totally 44 cases(52 eyes)of primary angle-closure glaucoma combined with cataract were selected to undergo the combined surgery, in order to observe the patients' pre- and postoperative eyesights, intraocular pressures and the postoperative complications.

RESULTS: The postoperative eyesight was improved significantly as compared with the preoperative eyesight. The intraocular pressure was declined dramatically. The result was of statistical significance(P<0.05). All the 52 cases' surgeries were performed by the same surgeon. The surgeries were processed smoothly, with 6 postoperative eyes of anterior chamber inflammation cell response, 3 eyes of anterior chamber fibrinoid exudate, 2 eyes of shallow anterior chamber through mydriasis and treatment with glucocorticoids and non-steroidal eyedrops before absorption, and no complications like malignant glaucoma, cyclodialysis, etc. were reported through mydriasis and pressure bandaging before recovery.

CONCLUSION: Treating the primary angle-closure glaucoma combined with cataract through the combined surgery has high reliability and desirable curative effect. The surgical method is simple to learn and applicable for promotion on the basic level.