摘要
目的:探讨青光眼伴白内障患者行白内障超声乳化摘除及人工晶体植入联合小梁切除术的临床效果。方法:在青光眼伴白内障患者中行超声乳化摘除及人工晶体植入联合小梁切除术(PHACO)45例45眼与常规白内障囊外摘除及人工晶体植入联合小梁切除术(ECCE)40例40眼进行平均6个月随访对照。结果:在手术后3个月观察发现PHACO联合术组的平均眼压为2.08kPa,角膜散光为0.84±0.63D,84％的病人术后裸眼视力≥1.0。ECCE联合术组的平均眼压为2.78kPa,角膜散光为154±0.67D,67.5％的病人术后裸眼视力≥1.0。两组对照有显著性差异(x^2检验,P<0.05)。PHACO联合组术后无严重并发症,ECCE联合术组术后滤过泡扁平有9例。结论:白内障超声乳化摘除及人工晶体植入联合小梁切除术由于成功率高和少而轻的并发症,明显优于常规白内障囊外摘除及人工晶体植入联合小梁切除术,应作为青光眼伴白内障的首选术式推广。眼科学报1999;15:114—116。
Objective: The study was designed to investigate the application of Phacoemulsifi-cation and Intraocular Lens Implantation combined with Trabeculectomy (Phaco & IOL & T) for glaucoma with cataract.
Methods : 'Phaco & IOL & T' was performed on 45 eyes of 45 patients in comparing with the treatment of Extra Capsule Cataract Extration and Intraocular Lens Implantation combined with Trabeculectomy (ECCE & IOL & T) on 40 eyes of 40 patients. The average period of follow-up was six months.
Results:The average Intra Ocular Pressure (IOP) in 'Phaco & IOL & T' group was 2.08kPa, astigmatism was 0.84 ±0.63D and 84% of patients had the visual acuity≥ 1.0. The average IOP in 'ECCE & IOL & T' group was 2.78kPa, astigmatism was 1.54 ± 0.67D and 67.5 % of patients had the visual acuity≥ 1. 0 after three months of the operations. The difference was significant ( P <0. 05). There was no severe complications in 'Phaco & IOL & T' group while there was 9 cases with flat filtration pad in 'ECCE & IOL & T' group.
Conclusion : The method of 'Phaco & IOL & T' is more efficient and safe than that of 'ECCE & IOL & T'. It should be the first consideration in the management of glaucoma with cataract. Eye Science 1999; 15 :114 - 116.
出处
《眼科学报》
1999年第2期114-116,共3页
Eye Science
关键词
白内障
青光眼
小梁切除
超声乳化
人工晶体植入
cataract, intraocular lens (IOL), implantation, glaucoma, trabeculectomy
