目的:评价玻璃体抽吸术在持续性高眼压性青光眼白内障联合手术中的安全性及有效性。方法:对28例28眼持续性高眼压性青光眼白内障患者先行玻璃体抽吸,再行青光眼白内障三联术。结果:术后并发症有浅前房、恶性青光眼、眼压控制不良、前房积血、虹膜炎、玻璃体积血、晶状体后囊混浊等;术后1wk和6～12mo时平均眼压分别为17.20±5.11mmHg和14.57±7.33mmHg,与术前相比差异有统计学意义(t=17.40,P<0.05;t=16.06,P<0.05);术后1wk和6～12mo时视力提高2行以上和视力提高1行、无改善者分别为12,8,8眼和12,10,6眼,与术前相比差异有统计学意义(F=5.24,P<0.05;F=5.78,P<0.05)。结论:对持续性高眼压青光眼白内障患者采用先行玻璃体抽吸,可快速降低眼压,重建前房,安全有效。

AIM:To evaluate the safety and efficacy of vitreous aspiration in continuous high-tension glaucoma cataract surgery. METHODS:Twenty-eight cases (28 eyes) with continu-ous high-tension glaucoma and cataract underwent vitreous aspiration first,and then triple-line glaucoma cataract surgery. RESULTS:Postoperative complications included shallow anterior chamber,malignant glaucoma,poorly controlled intraocular pressure,hyphema,iritis,vitreous hemorrh-age,posterior capsular opacity,etc.; after 1 week,and 6-12 months,respectively,the average IOPs were (17.20±5.11)mmHg and (14.57±7.33)mmHg,the difference compared with that of the preoperative was statistically significant (t=17.40,P<0.05;t=16.06,P<0.05); Visual acuity was improved two lines or more,1 line,0 line in 12,8,8 eyes and 12,10,6 eyes respectively,and compared with that of the preoperative,the difference was statistically significant (F=5.24,P<0.05;F=5.78,P<0.05). CONCLUSION:Vitreous aspiration in advance can quickly reduce the intraocular pressure,reconstruct anterior chamber,and is safe and effective for the treat-ment of continuous high-tension glaucoma cataract.

R779.6