两种术式联合治疗白内障合并青光眼的疗效分析
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Analysis on the clinical effects of cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract and glaucoma
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    摘要:

    目的:分析非超声乳化改良小切口白内障摘除人工晶状体植入与小梁切除术联合治疗白内障合并青光眼的临床疗效。

    方法:选择2009-03/2011-07就诊于我院眼科的白内障合并青光眼患者100例为本试验研究对象,所有患者均给予改良小切口非超声乳化白内障摘除人工晶状体植入与小梁切除术联合治疗方法,将术前及术后6mo眼压及视力情况进行比较。

    结果:所有患者随访6mo,测定患者平均眼压为14.1±2.73mmHg,显著低于术前(46.8±22.5mmHg); 视力>0.3者74例,显著高于术前(0例),P<0.05。仅6例患者出现角膜水肿,均在1wk内自然消退。

    结论:对于白内障合并青光眼患者给予改良小切口非超声乳化白内障摘除人工晶状体植入与小梁切除术联合治疗能够很好的将眼压控制住,视力恢复快,费用低,同时并发症发生率低,有着广泛的手术适应证。

    Abstract:

    AIM: To analyze the clinical effects of cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract and glaucoma.

    METHODS:From March 2009 to July 2011, 100 patients with cataract and glaucoma were selected as objects in our hospital. They were all given cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy. We made a comparison on intraocular pressure and the vision of patients before and 6 months after surgery.

    RESULTS: In the group, the average intraocular pressure was 14.1±2.73 mmHg 6 months after surgery, which was significantly lower than before(46.8±22.5mmHg). Visual acuity in 74 cases of patients was >0.3, which was significantly higher than before the surgery(0 case, P<0.05). Only 6 cases had cornea edema, which resolved with 1 week.

    CONCLUSION: Cataract extraction with modified small incision non-phacoemulsification and intraocular lens implantation combined with trabeculectomy for the treatment of cataract and glaucoma can control the intraocular pressure well, make the eyesight recover faster. The cost and complication rate are lower, it has a wide range of surgical indications.

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陈宾,马坚.两种术式联合治疗白内障合并青光眼的疗效分析.国际眼科杂志, 2013,13(2):363-364.

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  • 收稿日期:2012-09-04
  • 最后修改日期:2013-01-27
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