中国冶金工业医学杂志

联合手术治疗青光眼合并白内障临床效果分析

作者：栾志勤

分类号：R 779.6

出版年,卷(期):页码：2019,36(3):252-253

摘要：

摘要：目的探讨白内障小切口手法碎核晶体摘除及人工晶状体植入联合小梁切除术治疗青光眼合并白内障的临床疗效。方法
回顾分析45 例（50 眼）青光眼合并白内障患者进行联合手术后的临床效果，分析手术前后视力、眼压、滤过泡形态和并发症的情况。结
果视力：50 眼中38 眼(76%)较术前提高，12 眼（24%）视力不变；手术前后最佳矫正视力比较，术后视力改善明显；眼压：术前在使用
（2.50±0.41）种抗青光眼药物的情况下平均眼压为(29.16±2.63）mmHg，术后1 周时未用降眼压药物的平均眼压为（15.32±3.45）mmHg，
术后12 月复诊时平均眼压为（16.32±3.45）mmHg，术后眼压达到控制良好标准的有38 眼，8 眼应用1 种抗青光眼药物可控制眼压在
20 mmHg 以下，4 眼应用2 种降眼压药物可控制眼压在20～25 mmHg；滤过泡：术后12 月复诊时Ⅰ型和Ⅱ型功能性的滤过泡有41 眼
（82%)，Ⅲ型和IV 型9 眼（18%）；并发症：主要是角膜水肿及前部色素膜炎。结论白内障小切口手法碎核晶体摘除及人工晶状体植入联
合小梁切除术治疗青光眼合并白内障，能够有效降低眼压、提高视力。
关键词：小梁切除术；青光眼；白内障；联合手术

Abstract：Objective To study the clinical effect of small incision cataract extraction and intraocular lens implantation combined with
trabeculectomy for glaucoma with cataract. Methods 45 patients（50 eyes）with glaucoma and cataract were analyzed retrospectively. The vision,
intraocular pressure, filtration bleb morphology and complications were analyzed before and after surgery. Results Vision: 38 eyes（76%）in 50 eyes
were improved compared with preoperative and 12 eyes（24%）had unchanged; best corrected visual acuity were compared between before and after
surgery, the postoperative vision was improved significantly; Intraocular pressure: The mean intraocular pressure was（29.16±2.63）mmHg before use
（2.50±0.41）kinds of anti-glaucoma drugs before surgery, (1.32±3.45)mmHg without drug at 1 week after surgery, and（32.32±3.45）mmHg followup
12 months. 38 eyes were controlled better, 8 eyes were controlled below 20 mmHg with one kind of anti-glaucoma drug and 4 eyes were controlled to
20 ~ 25 mmHg with 2 kinds of hypotensive drugs; Filtration bleb: 41 eyes（82%）with type I and type II, 9 eyes（18%）with type III and type IV
functional filtering blebs after follow-up 12 months; Complications: mainly corneal edema and anterior uveitis. Conclusion The small incision cataract
extraction and intraocular lens implantation combined with trabeculectomy for glaucoma with cataract can effectively reduce the pressure of the eye and
improve the vision.
Key Words：Microbeam resection; Glaucoma; Cataracts; Joint operation

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作者简介：

参考文献：

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