双内切口白内障超声乳化联合小梁切除术初步报告

目的:探讨双内切口白内障超声乳化联合小梁切除术对治疗青光眼合并白内障患者的疗效。方法:经同一主切口将透明角膜切口白内障超声乳化人工晶状体植入术和小梁切除术以不同内切口集合在一起,对35例46眼青光眼合并白内障患者进行手术,术后随访1～6mo。结果:眼压:术前眼压25～69(平均38.3)mmHg,术后最终眼压8～28(平均15.6)mmHg。视力:术前视力范围光感～0.5,术后随访最佳矫正视力0.02～1.0,其中21眼≥0.5,34眼≥0.3。结论:双内切口白内障超声乳化联合小梁切除术治疗青光眼合并白内障,有效利用切口,使2种手术的相互影响降到较低,手术安全、有效。

Preliminary report on internal double incisions phacoemulsification and trabeculectomy

·AIM:To research the treatment effects of internal double incisions phacoemulsification and trabeculectomy for glaucoma combined with cataract.METHODS:All of 35 cases 46 eyes diagnosed with glaucoma combined with cataract were treated.Phacoemulsification,intraocular lens(IOL)implantation and trabeculectomy were performed simultaneously using the same main incision and two different internal incisions.The follow-up time was from 1 to 6 months postoperatively.RESULTS:The mean intraocular pressure(IOP)preoperatively was 38.3(25-69)mmHg.Postoperatively the mean IOP was 15.6(8-28)mmHg.The range of preoperative vision was from light perception to 0.5.The postoperative best-corrected visual acuity(BCVA)was 0.02-1.0,including ≥0.5 in 21 eyes,≥0.3 in 34 eyes.CONCLUSION:Phacoemulsification,IOL implantation and trabeculectomy performed simultaneously using the same main incision and two different internal incisions can reduce the interaction and make use of incision effectively.It is safe and effective.