论文部分内容阅读
目的观察青光眼合并白内障行巩膜隧道切口白内障摘除联合人工晶体植入及小梁切除的临床疗效。方法应用巩膜隧道切口白内障摘除联合人工晶体及小梁切除术治疗青光眼合并白内障41例(41眼),术后随访4~18个月。结果平均眼压由术前4.30 kPa降到术后的2.27kPa。其中,80.48%的患眼眼压被控制在2.66 kPa以下。术后视力(裸眼或矫正视力)>0.3者68.29%,功能性滤泡占82.92%。结论 巩膜隧道切口白内障摘除联合人工晶体植入及小梁切除术,可有效治疗青光眼合并白内障,手术安全、便捷。
Objective To observe the clinical effects of scleral tunnel incision cataract extraction combined with intraocular lens implantation and trabeculectomy in glaucoma with cataract. Methods 41 patients (41 eyes) with glaucoma and cataract were treated with scleral tunnel incision cataract extraction combined with intraocular lens implantation and trabeculectomy. The patients were followed up for 4 to 18 months. Results The average intraocular pressure decreased from 4.30 kPa preoperatively to 2.27 kPa postoperatively. Among them, 80.48% of intraocular pressure was controlled at 2.66 kPa or less. Postoperative visual acuity (naked eye or corrected visual acuity)> 0.3 of 68.29%, functional follicles accounted for 82.92%. Conclusion Scleral tunnel incision cataract extraction combined with intraocular lens implantation and trabeculectomy, which can effectively treat glaucoma and cataract surgery, safe and convenient operation.