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目的观察超声乳化白内障吸出后房型人工晶状体植入联合隧道下小梁切除术治疗青光眼白内障的临床疗效。方法患者共48例(48眼),其中原发性闭角型青光眼并发白内障44例,白内障继发青光眼4例,对患者采用经超乳隧道切口的三联术,术后随访8～12个月,分别对术眼视力、眼压、结膜滤过泡及术后并发症等进行观察检查。结果术后矫正视力范围0.05～1.0,其中36眼(占75%)视力≥0.3;非接触眼压计测48眼眼压范围为14.7～25.4mmHg,其中40眼(占83%)眼压低于21mmHg;术后12个月有14眼(占30%)滤过泡消失;术后早期轻度角膜水肿者8眼(占16%),前房炎性反应、房水浑浊、瞳孔区有渗出者10眼(占20%),无前房浅、前房出血及角膜失代偿。结论超声乳化联合隧道下小梁切除术治疗青光眼白内障视力恢复良好,并可有效的控制眼压,该法安全可靠。
Objective To observe the clinical effect of phacoemulsification cataract extraction combined with intraocular lens implantation under tunnel trabeculectomy in the treatment of glaucoma and cataract. Methods A total of 48 patients (48 eyes), including primary angle-closure glaucoma in 44 cases of cataract and cataract secondary glaucoma in 4 cases. The patients were treated by phacoemulsification tunnel incision triple operation, followed up for 8 to 12 months , Respectively, visual acuity, intraocular pressure, conjunctival filtration bleb and postoperative complications were observed and examined. Results Postoperative corrected visual acuity ranged from 0.05 to 1.0, of which 36 eyes (75%) had a visual acuity of ≥0.3; 48 eyes with non-contact intraocular pressure (IOP) ranged from 14.7 to 25.4 mmHg, of which 40 eyes (83% 21 mmHg; 14 eyes (30%) filtered bleb disappeared 12 months after operation; early postoperative mild corneal edema in 8 eyes (16%), anterior chamber inflammatory reaction, aqueous humor, infiltration of pupil area Out of 10 (20%), no anterior chamber shallow, anterior chamber bleeding and corneal decompensation. Conclusion Phacoemulsification combined with tunnel trabeculectomy in the treatment of glaucoma cataract eyesight recovery is good, and can effectively control intraocular pressure, the method is safe and reliable.