摘要
目的:分析评价青光眼白内障联合手术的疗效。方法:对260例(279眼)行青光眼白内障联合手术的病例作回顾性分析,并将病人分为3组。Ⅰ组:白内障囊外摘除联合小梁切除术;Ⅱ组:白内障囊外摘除、人工晶体植入联合小梁切除术;Ⅲ组:超声乳化白内障吸出、人工晶体植入联合小梁切除术;并分析比较3组的术后视力、眼压和并发症。结果:3组病例术后视力≥0.3者分别为16.2％、32.4％和43.5％,术后视力改善率分别为46.6％、70.4％和78.3％;3组术后平均眼压分别为12.72±6.66mmHg(1mmHg=0.133kPa)、13.01±5.26mmHg、12.63±4.66mmHg,与术前相比有显著性差异(P<0.01);Ⅲ组的并发症较其余2组明显减少。结论:青光眼白内障联合手术可有效控制眼压,三联手术能迅速提高视力,其中采用超声乳化白内障吸出技术能大大减少并发症的发生,提高手术的成功率。眼科学报2000;16:102-105。
Purpose: To evaluate the efficacy of the combined surgery of glaucoma and cataract. Methods: We reviewed 260 consecutive cases (279 eyes) who underwent the combined procedure of glaucoma and cataract. The patients were divided into three groups: group 1 : extracapsular cataract extraction combined with trabeculectomy; group 2: extracapsular cataract extraction and intraocular lens implantation combined with trabeculectomy; group 3 : cataract phacoemulsification and intraocular lens implantation combined with trabeculectomy; We analyzed and compared the postoperative visual acuity (VA), intraocular pressure (IOP) and complications among three groups. Results: 16. 2% , 32. 4% and 43. 5% of patients in three groups achieved 0. 3 or better VA. The VA improved rate were 46. 6%, 70. 4% and 78. 3% respectively. The mean postoperative IOP of three groups were 12. 72±6. 66 mmHg(l mmHg = 0. 133 kPa), 13. 01±5. 26 mmHg, 12. 63±4. 66 mmHg(compared with preoperative IOP, P < 0. 01). The complications of group 3 were much less than those of the other two groups. Conclusion: The combined surgery can control the IOP effectively; The triple procedure can improve the VA rapidly and the phacoemulsification technique can decrease the complications. Eye Science 2000; 16: 102-105.
出处
《眼科学报》
2000年第2期102-105,共4页
Eye Science
