中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
9期
683-685
,共3页
青光眼%白内障%超声乳化%小梁切除
青光眼%白內障%超聲乳化%小樑切除
청광안%백내장%초성유화%소량절제
Glaucoma%Cataract%Phacoemulsification%Trabecuhectomy
目的 观察晶状体超声乳化人工晶状体植入联合小梁切除术治疗青光眼合并白内障的临床效果.方法 青光眼合并白内障37例(42眼)应用联合手术治疗,随访3～24个月,观察术后视力、眼压、滤过泡及并发症情况.结果 术后3个月视力均有不同程度的提高；0.3及以上者占83.33％.术后3个月眼压有41眼(97.62％)控制在9～16 mm Hg.术后6个月功能性滤过泡36眼(85.71％).术后并发症有:葡萄膜反应、角膜水肿、暂时性眼压升高等,经治疗后缓解.结论 青光眼合并白内障联合手术,既能控制眼压,又能改善视力,避免了分期手术给患者造成的痛苦,减少了术中术后并发症的发生.
目的 觀察晶狀體超聲乳化人工晶狀體植入聯閤小樑切除術治療青光眼閤併白內障的臨床效果.方法 青光眼閤併白內障37例(42眼)應用聯閤手術治療,隨訪3～24箇月,觀察術後視力、眼壓、濾過泡及併髮癥情況.結果 術後3箇月視力均有不同程度的提高；0.3及以上者佔83.33％.術後3箇月眼壓有41眼(97.62％)控製在9～16 mm Hg.術後6箇月功能性濾過泡36眼(85.71％).術後併髮癥有:葡萄膜反應、角膜水腫、暫時性眼壓升高等,經治療後緩解.結論 青光眼閤併白內障聯閤手術,既能控製眼壓,又能改善視力,避免瞭分期手術給患者造成的痛苦,減少瞭術中術後併髮癥的髮生.
목적 관찰정상체초성유화인공정상체식입연합소량절제술치료청광안합병백내장적림상효과.방법 청광안합병백내장37례(42안)응용연합수술치료,수방3～24개월,관찰술후시력、안압、려과포급병발증정황.결과 술후3개월시력균유불동정도적제고；0.3급이상자점83.33％.술후3개월안압유41안(97.62％)공제재9～16 mm Hg.술후6개월공능성려과포36안(85.71％).술후병발증유:포도막반응、각막수종、잠시성안압승고등,경치료후완해.결론 청광안합병백내장연합수술,기능공제안압,우능개선시력,피면료분기수술급환자조성적통고,감소료술중술후병발증적발생.
Objective To observe the clinical effects of combined surgery of phacoemulsification,intraocular lens implantation and trabeculectomy for patients with glaucoma and cataract.Methods 37 patients(42 eyes)with glaucoma and cataract underwent the combined surgery.All cases were followed up for 3 to 24 months.The visual acuity,intraocular pressure,filtering bleb and complications were observed.Results The visual acuity of all patients were improved in different degrees 3 months after operation.83.33％ of them obtained a vision of 0.3 or better.The intraocular pressure of 41 eyes (97.62％)was 9-16 mm Hg 3 months after operation.36 eyes ( 85.71％ ) have functional filtering bleb 6 months after operation.The major postoperative complications were uveitis,corneal edema and transient high intraocular pressure.All complications remissed after treatment by medication.Conclusion Combined surgery in glaucoma with cataract can control intraocular pressure and improve visual acuity.It can avoid the pain of staging surgery to patients,and reduce the postoperative complications.
