论文部分内容阅读
目的 探讨青光眼白内障联合手术中不同术式的适应证及手术效果。方法 对本院 1995年来 45例青光眼并白内障病例进行手术适应证分析及疗效分析。结果 小梁切除加白内障超声乳化人工晶状体植入术 ,并发症少 ,视力提高显著 ,眼压控制稳定。小梁切除加白内障囊外摘出人工晶状体植入术并发症比前者多 ,视力不同程度提高 ,眼压控制稳定。白内障囊外摘出或超声乳化人工晶状体植入术加虹膜周边切除术术后疗效好。结论 小梁切除加超乳术式为联合手术中最好的方法 ,但适应证有局限性 ;小梁切除加囊外摘出术式适应证广 ,并发症比前者多 ,但能尽量克服 ;摘出加周切术式组织伤小 ,手术时间短 ,但也有局限性。
Objective To investigate the indications and operative effects of different surgical procedures in glaucoma combined with cataract surgery. Methods In our hospital in 1995 to 45 cases of glaucoma and cataract surgery indications and analysis of curative effect. Results trabeculectomy combined with cataract phacoemulsification intraocular lens implantation, fewer complications, significant improvement of visual acuity, IOP control and stability. Trabeculectomy combined with extracapsular cataract extraction intraocular lens implantation complications than the former, visual acuity increased to varying degrees, intraocular pressure control and stability. Extracapsular cataract extraction or phacoemulsification intraocular lens implantation plus peripheral iridectomy has good curative effect. Conclusions Trabeculectomy combined with phacoemulsification is the best method in combined surgery, but indications have limitations. Trabeculectomy plus extracapsular cataract surgery has a wide range of indications and complications, but can overcome as much as possible. Plus perioperative surgical tissue injury, shorter operative time, but there are limitations.