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目的:探讨青光眼并白内障合并剥脱综合征行白内障摘除联合人工晶体植入和巩膜瓣下小梁切除术后的效果。方法:2007年1月~2010年10月收治患者25例(30眼),行白内障摘除联合人工晶体植入术和巩膜瓣下咬切三联术,对术后1~3年的疗效观察。结果:术后视力0.06~0.1者5例(7眼),0.15~0.5者15例(17眼),0.6~1.0者5例(6眼),术后眼压23例(27眼)控制在≤21mmHg,2例(3眼)眼压>21mmHg,术后使用降眼压药物控制眼压。结论:青光眼并白内障合并剥脱综合征行白内障摘除联合人工晶体植入和巩膜瓣下咬切除术是一种安全确切有效的手术方法。
Objective: To investigate the effect of cataract extraction combined with artificial lens implantation and scleral flap trabeculectomy in glaucoma and cataract with exfoliation syndrome. Methods: From January 2007 to October 2010, 25 patients (30 eyes) were treated with cataract extraction combined with intraocular lens implantation and scleral flap bite resection. The curative effect was observed 1 to 3 years after operation. Results: Postoperative visual acuity was observed in 5 eyes (7 eyes) of 0.06 ~ 0.1, in 15 eyes of 0.15 ~ 0.5 eyes (5 eyes), in 6 eyes (0.6 ~ 1.0 eyes) and postoperative IOP in 23 eyes (27 eyes) ≤ 21mmHg, 2 cases (3 eyes) intraocular pressure> 21mmHg, intraocular pressure control after intraocular pressure lowering medication. Conclusion: Glaucoma and cataract combined with exfoliation syndrome cataract extraction combined with intraocular lens implantation and scleral flap resection is a safe and effective surgical method.