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目的 :评价白内障摘除后房型人工晶状体植入联合小梁切除术 (三联术 )远期疗效。方法 :对 6 0例白内障合并青光眼患者行三联手术 ,随访 2 4个月 ,比较术前、术后视力、视野及眼压。结果 :术后视力 0 3以上者 5 1只眼占 85 0 % ,0 5以上者 36只眼占 6 0 0 % ;术后平均眼压 2 12± 0 72kPa ,较术前降低 3 5 0kPa ,差异有显著性 (t=14 2 6 ,P <0 0 0 0 5 ) ;术后复查视野 5 4只眼 (90 0 % )维持不变 ,6只眼 (10 0 % )轻微损害。结论 :三联术后视力恢复较好 ,眼压下降效果确实 ,视野稳定 ,远期疗效良好
Objective: To evaluate the long term effect of phacoemulsification combined with trabeculectomy (triple surgery) after cataract extraction. Methods: Totally 60 cases of cataract combined with glaucoma underwent triple operation and followed up for 24 months. The preoperative and postoperative visual acuity, visual field and intraocular pressure were compared. Results: The postoperative visual acuity of 0 3 or more accounted for 85 0%, more than 0 5 of 36 eyes accounted for 60%; postoperative average intraocular pressure 2 12 ± 0 72kPa, compared with preoperative reduction of 3 0 0 kPa, The difference was significant (t = 14 2 6, P 0 100 05). The postoperative visual field of 5 4 eyes (90 0%) remained unchanged and 6 eyes (10 0%) were slightly damaged. Conclusion: The visual acuity after triple operation is better, the effect of intraocular pressure drop is definite, the visual field is stable and the long-term curative effect is good