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目的探讨三联手术治疗青光眼并白内障的临床效果。方法回顾分析30例患者的临床资料。结果所有患者视力较术前提高,术后3个月时28眼视力好于0.1,1例术前3个月时视力0.08,查眼底为严重的老年黄斑变性;1眼视力为0.04,查眼底有明显视神经萎缩,C/D=0.9。手术前平均眼压29.6mmHg;术后12个月29眼平均眼压14.5mmHg;另1眼眼压给予抗青光眼药物后降至24mmHg。结论小切口白内障囊外摘除人工晶体植入+小梁切除切除治疗白内障并青光眼疗效满意。
Objective To investigate the clinical effect of triple operation on glaucoma and cataract. Methods The clinical data of 30 patients were retrospectively analyzed. Results All patients had higher visual acuity than that before operation. Visual acuity of 28 eyes was better than 0.1 at 3 months after operation, and visual acuity was 0.08 at 3 months before surgery. The eyes were severe age-related macular degeneration. One eye had a visual acuity of 0.04, Obvious optic nerve atrophy, C / D = 0.9. The average intraocular pressure before surgery 29.6mmHg; 12 months after 29 eyes average IOP 14.5mmHg; the other 1 intraocular pressure after anti-glaucoma medication dropped to 24mmHg. Conclusions Small incision extracapsular cataract extraction combined with intraocular lens implantation and trabeculectomy is effective in treating cataract and glaucoma.