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目的 :观察小切口白内障囊外摘除及人工晶状体植入术联合巩膜隧道内小梁切除术的临床效果。方法 :采用小切口白内障囊外摘除及人工晶状体植入联合巩膜隧道内小梁切除术治疗 5 4例 (5 8只眼 )青光眼合并白内障患者 ,术后观察视力、眼压、滤过泡形态、手术并发症等。随访 3～ 18个月 ,平均 11 7个月。结果 :出院时 5 4只眼 (93 1% )视力不同程度提高 ,4只眼 (6 9% )由于青光眼性视神经萎缩术后视力差。 5 8只眼眼压全部在 5～ 2 1mmHg之间 ,其中 3只眼需局部滴用降眼压药物。随访 4 5只眼 (77 6 % ) ,形成功能型滤过泡。术后早期并发症有角膜水肿、色素膜炎症反应、前房少量出血等。后期主要有人工晶状体位置偏移、眼压升高等。结论 :该术式是目前治疗青光眼合并白内障患者经济有效、较为理想实用的术式。
Objective: To observe the clinical effect of small incision extracapsular cataract extraction and intraocular lens implantation combined with scleral tunnel trabeculectomy. Methods: Fifty-four cases (58 eyes) of glaucoma complicated with cataract were treated with small incision extracapsular cataract extraction and intraocular lens implantation combined with scleral tunnel trabeculectomy. Visual acuity, intraocular pressure, filtering bleb morphology, Surgical complications. Followed up for 3 to 18 months, an average of 11 7 months. Results: The visual acuity was improved in 54 eyes (93 1%) at discharge, and 4 eyes (69%) had poor visual acuity after glaucomatous optic atrophy. 5 8 eyes intraocular pressure all in 5 ~ 2 1mmHg between, 3 of which need local eye drop intraocular pressure medication. A total of 45 eyes (77 6%) were followed up to form functional bleb. Early postoperative complications of corneal edema, inflammatory reaction of the pigmented membrane, anterior chamber a small amount of bleeding. Late postoperative intraocular lens position shift, intraocular pressure and so on. Conclusion: This technique is the most effective and practical method for the treatment of glaucoma and cataract.