摘要
目的评价超声乳化白内障吸除折叠式人工晶体(IOL)植入联合小梁切除术的安全性和有效性。方法收集28例30眼慢性闭角型青光眼合并白内障行超声乳化白内障吸除折叠式IOL植入联合小梁切除术患者(A组)的临床资料,总结和分析患者的视力、眼压、滤过泡、手术并发症以及医疗费用情况,并与行青光眼小梁切除术后3～4周再行白内障手术的27例28眼慢性闭角型青光眼合并白内障患者(B组)进行比较。术后随访6个月。结果A、B组术后1周和1、6个月的眼压下降值及最佳矫正视力≥0.5的眼数的差异均无统计学意义(P值均>0.05)。两组术后滤过泡发生率的差异均无统计学意义(P值均>0.05)。两组均无严重并发症发生。A组平均住院天数为(10.4±1.6)d,显著少于B组的(15.8±1.6)d(P<0.01)。A组平均医疗费用为(7603.57±215.97)元,显著低于B组的(9671.75±268.60)元(P<0.01)。结论超声乳化白内障吸除折叠式人工IOL植入联合小梁切除术并发症少,可便捷、安全、有效、经济地治疗青光眼合并白内障。
Objective To evaluate the safety and effectiveness of phacoemulsification- intraocular lens （IOL）implantation combined with trabeculectomy in treatment of patients with cataract. Methods Fifty-eight eyes of 55 patients with chronic angle-closure glaucoma with cataract were included in the present study. Phacoemulsification-IOL implantation combined with trabeculectomy was performed for 30 eyes of 28 patients （group A） and phacoemulsification-IOL implantation after trabeculectomy was performed for 28 eyes of 27 patients （group B）. The best-corrected visual acuity （BCVA）, pre- and post-operation intraocular pressure （lOP）, postoperative bleb formation and postoperative complications were analyzed and compared between the two groups. All the cases were followed up for over 6 months. Results The mean IOP values of group A and group B at 1 week, 1 month, and 6 months after operation and the number of eyes with BCVA distinctly lower than those of preoperative. There were no significant decline differences of the lOP between two groups during postoperative 1 week, 1 and 6 month. The eyes with postoperative BCVA ≥0.5 were similar between the 2 groups; the conditions of filtering bleb were also similar between the 2 groups. There were no severe complications in the 2 groups. The mean hospital stay and the cost were （[10.4± 1.6] d and [7 603.57±215.97] yuan） in group A were significantly lower than those in group B （[15.8± 1.6] d and [9 671.75±268.60] yuan） in group B （both P〈0.01）. Conclusion Phacoemulsification-IOL implantation combined with trabeculectomy is a safe, effective, economical regimen for glaucoma combined with cataract with less complication. （Shanghai Med J, 2009, 32 ： 136- 138）
出处
《上海医学》
CAS
CSCD
北大核心
2009年第2期136-138,共3页
Shanghai Medical Journal
