摘要
目的 评价超声乳化术在青光眼白内障三联手术中的临床疗效。 方法 随机选择1999年4月～2001年4月间资料完整的青光眼合并白内障患者行超声乳化白内障摘出后房型人工晶状体植入联合小梁切除术(PHACO组)36眼及白内障囊外摘出后房型人工晶状体植入联合小梁切除术(ECCE组)40眼,随访分析6～17个月。 结果 PHACO组术后暂时性高眼压发生率低且术后眼压控制良好,无需加用抗表光眼药物的患者明显多于ECCE组。术后3天及3个月裸眼视力恢复≥0.5者,PHACO组优于ECCE组。术后前房出血、纤维素性渗出、人工晶状体表面色素沉积及黄斑囊样水肿等并发症的发生率,PHACO组明显低于ECCE组。 结论 超声乳化白内障摘出后房型人工晶状体植入联合小梁切除术安全、有效。
Objective To evaluate the clinical contribution of phacoemulsification combined with cataract and trabeculectomy triple surgery. Methods 70 cases (76 eyes) with glaucoma and cataract were randomly chosen and followed up for 6 ~ 17 months. 36 eyes received phacoemulsification and IOL-implantation combined with trabeculectomy (PHACO group) and 40 eyes underwent modern extracapsular cataract extraction and IOL-implantation combined with trabeculectomy ( ECCE group). Results Postoperatively, in the PHACO group, the incidence of temporal high intraocular pressure (IOP) and the cases of adding antiglaucoma drug were lower. Cases uncorrected visual acuity 0. 5 or better in PHACO group was more than the ECCE group. The incidence of postoperative complications such as hyphema,fibrous effusion,pigmentation on the IOL and cystoid macular edema in the PHACO group were less than those in the ECCE group. Conclusion The triple surgery of phacoemulsification and lOL-implantation combined with trabeculectomy is safe and effective.
出处
《眼科研究》
CSCD
北大核心
2002年第6期546-547,共2页
Chinese Ophthalmic Research
