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目的:探讨超声乳化联合小梁切除术治疗原发性青光眼合并白内障的疗效。方法:通过对原发性青光眼合并白内障患者15例(15眼)进行治疗,记录患者手术前、后的视力和眼压,观察术后滤过泡的形成和并发症的发生情况。术后随访时间为6～18个月。结果:术前平均眼压为(22.15±3.15)mm Hg(1 mm Hg=0.133 kPa),术后随访最终平均眼压降至(13.35±2.15)mm Hg(P<0.01)。术后随访最终矫正视力范围0.05～0.80,其中≥0.3者10眼(67%)。术后随访期内未使用降眼压药。术后早期并发症角膜水肿5眼(33%),纤维渗出性虹膜炎2眼(13%),浅前房1眼(7%),前房出血1例(7%);晚期并发症后发性白内障5眼(33%)。结论:应用超声乳化白内障吸除人工晶状体植入联合小梁切除术治疗青光眼合并白内障安全、有效、便捷。
Objective: To investigate the efficacy of phacoemulsification combined with trabeculectomy in the treatment of primary glaucoma complicated with cataract. Methods: Fifteen patients (15 eyes) with primary glaucoma and cataract were treated. The visual acuity and intraocular pressure before and after operation were recorded. The formation of postoperative bleb and complication were observed. Postoperative follow-up time was 6 to 18 months. Results: The average preoperative intraocular pressure was (22.15 ± 3.15) mm Hg (1 mm Hg = 0.133 kPa). The mean intraocular pressure (IOP) dropped to (13.35 ± 2.15) mm Hg after operation (P <0.01). Postoperative follow-up final corrected visual acuity range of 0.05 to 0.80, of which ≥ 0.3 were 10 eyes (67%). IOP was not used during the follow-up period. Postoperative early complications of corneal edema in 5 eyes (33%), exudative iris in 2 eyes (13%), shallow anterior chamber (7%), anterior chamber hemorrhage in 1 case (7%); late complications After cataract in 5 eyes (33%). Conclusion: The application of phacoemulsification cataract extraction with intraocular lens implantation combined with trabeculectomy in the treatment of glaucoma with cataract is safe, effective and convenient.