摘要
目的探讨双切口复合式小梁切除术联合白内障超声乳化及人工晶状体植入术(双切口联合术)治疗青光眼合并白内障的临床疗效。方法回顾分析42例48只青光眼合并白内障患者,这些患者均施行双切口联合术,观察术前和术后视力、眼压、滤过泡形成及并发症,术后随访6～12个月。结果术后所有患眼视力均有不同程度提高,手术前后视力比较差异具有统计学意义(χ2=17.42,P<0.05)。眼压由术前(23.4±2.6)mmHg,降至术后最末次随访(14.3±3.1)mmHg,平均下降(8.9±4.5)mmHg,手术前后眼压比较差异具有统计学意义(t=4.915,P<0.05)。Ⅰ型滤过泡11只眼(22.9%),Ⅱ型滤过泡24只眼(50.0%),功能型滤过泡形成率为72.9%。术后主要并发症为早期轻度角膜水肿和前房内炎症渗出反应及一过性高眼压,无术中、术后严重并发症发生。结论双切口联合术能有效控制眼压,提高视力,缩短疗程,是治疗青光眼合并白内障简捷、安全、有效的方法。
Objective To investigate the clinical effects of the two-incision combined surgery of trabeculectomy with phacoemulsification and intraocular lens implantation（ two-incision surgery） for patients with glaucoma combined with cataract. Methods A retrospective analysis of 42 cases of 48 eyes with cataract and glaucoma underwent two-incision surgery. Pre-and post-operation,visual acuity,intraocular pressure,filtering bleb morphology and complications were observed. All cases were followed up for 6 to 12 months. Results Post-operation,visual acuity of all cases had various degrees improvement. The difference between pre-and post-operation was statistically significant（ χ2= 17. 42,P〈0. 05）. Intraocular pressure（ IOP） was controlled from（ 23. 4 ± 2. 6） mmHg pre-operation to（ 14. 3 ±3. 1） mmHg. And the average decline was（ 8. 9 ± 4. 5） mmHg. The difference between pre-and post-operation was also statistically significant（ t = 4. 915,P〈0. 05）. About filtering bleb morphology,11 eyes（ 22. 9%） was observed in Type Ⅰ,24 eyes（ 50. 0%） in Type Ⅱ,and rate of functional bleb formation was 72. 9%. Postoperative complications were early mild corneal edema,anterior chamber reaction and temporary high intraocular pressure. But no serious postoperative complication was observed. Conclusion The two-incision surgery can effectively control IOP,improve visual acuity,and shorten course of treatment. And it＇s a simple,safe and effective treatment for patients with glaucoma and cataract.
出处
《黑龙江医学》
2014年第6期650-651,共2页
Heilongjiang Medical Journal
