超声乳化联合小梁切除术治疗青光眼合并白内障患者的眼压视力及并发症分析

目的：：评价临床应用超声乳化白内障吸除术联合小梁切除术治疗青光眼合并白内障患者对眼压、视力及并发症的影响。方法：选取我院近年来收治的90例青光眼合并白内障患者作为研究对象，按照治疗方法不同分为联合治疗组与对照组各45例，对照组采用小梁切除术治疗，联合治疗组联合超声乳化白内障吸除术治疗，比较两组患者术后眼压、视力及并发症情况。结果：两组患者手术前患眼视力平均值、眼压水平比较并无明显差异(P>0.05)，术后1周、1个月、3个月时视力水平均逐步提升、眼压均逐步下降，但同期组间比较联合治疗组较对照组改善更明显( P<0.05)；联合治疗组、对照组术后并发症发生率分别为8.8％、22.0％，联合治疗组并发症发生率明显低于对照组( P<0.05)，具有统计学意义。结论：临床应用超声乳化白内障吸除术联合小梁切除术治疗青光眼合并白内障可有效恢复术后视力、降低眼压，且并发症相对较少、安全性较高，值得推广应用。

The Analysis of the Intraocular Pressure,Vision and Complications of Glaucoma Patients Treated with Ultrasonic Emulsification Combined Trabeculectomy

Objective:to evaluate the impact on patient's intraocular pressure, vision and complications after the clinical application of ultrasonic emulsification cataract gettering technique combined trabeculectomy. Methods:90 glaucoma with cataract patients admitted in our hospital in recent years are selected as the re-search object, according to the different treatment method, they are divided into combined treatment group and control group.45 cases in the control group are treated by trabeculectomy while 45 cases are treated with the combination therapy of ultrasound emulsification and cataract gettering treatment. Compare the postoperative intraocular pressure (iop), visual acuity and complications of the two groups of patients.Results:There is no obvious difference ( P > 0.05) between two groups of patients of their eye average visual acuity, intraocular pressure level before surgery. The level of vision improved and the intraocular pressure declined gradually in both groups by 1 week, 1 month and 3 months after surgery, but combined treatment group improved more sig-nificantly ( P <0.05) than the control group;the postoperative complications incidence of combined treatment group and control group were 8.8%, 22.0%, the complication rates of combined treatment group was obviously lower than the control group ( P < 0.05) , with statistical significance. Conclusion:the clinical application of ultrasonic emulsification cataract gettering technique combined trabeculectomy in the treatment of glaucoma pa-tients with cataract can effectively restore postoperative visual acuity, reduce intraocular pressure, and with relatively few complications and high security, which is worthy of popularization and application.