CAJ | 학술논문

目的：探讨小切口白内障手术联合隧道内小梁切除术治疗白内障青光眼临床疗效。方法对26眼白内障合并青光眼的患者,行小切口白内障摘除人工晶体植入联合小梁切除术,术后观察术眼视力、眼压、滤过泡、并发症等情况,术后随访6个月。结果术后6个月随访时,23眼(88.5%)术后视力有不同程度的提高,其中术后视力大于0.3有19眼(73.1%)。术前及术后各观察时间点眼压值比较发现,术后眼压均比术前有所下降,差异有统计学意义(P<0.05)；术后各观察时间点眼压值两两比较发现,差异均无统计学意义(P>0.05)。术后有23眼(88.5%)形成弥漫扁平的功能性滤过泡,其中Ⅰ型滤过泡14眼,Ⅱ型滤过泡9眼。术后有角膜水肿7眼,浅前房3眼,术中术后未见严重的并发症。结论小切口白内障手术联合隧道内小梁切除术治疗白内障合并青光眼,不但能很好的控制眼压,迅速恢复视力,而且并发症少,该方法是一种安全、有效、经济、实用的手术方法,值得临床应用。
목적：탐토소절구백내장수술연합수도내소량절제술치료백내장청광안림상료효。방법대26안백내장합병청광안적환자,행소절구백내장적제인공정체식입연합소량절제술,술후관찰술안시력、안압、려과포、병발증등정황,술후수방6개월。결과술후6개월수방시,23안(88.5%)술후시력유불동정도적제고,기중술후시력대우0.3유19안(73.1%)。술전급술후각관찰시간점안압치비교발현,술후안압균비술전유소하강,차이유통계학의의(P<0.05)；술후각관찰시간점안압치량량비교발현,차이균무통계학의의(P>0.05)。술후유23안(88.5%)형성미만편평적공능성려과포,기중Ⅰ형려과포14안,Ⅱ형려과포9안。술후유각막수종7안,천전방3안,술중술후미견엄중적병발증。결론소절구백내장수술연합수도내소량절제술치료백내장합병청광안,불단능흔호적공제안압,신속회복시력,이차병발증소,해방법시일충안전、유효、경제、실용적수술방법,치득림상응용。
Objective To investigate the effect of combined surgery of improved small incision intraocular lens implantation and glaucoma. Methods Combined surgery were performed on 26 eyes of cataract with glaucoma, the postoperative visual acuity, intraocular pressure, filtering bleb and complication were investigated after follow-up 6 months. Results 23 eyes(88.5%) had improved visual acuity. 19 eyes(73.1%) had the best corrected visual acuity>0.3. Surgery before and after each observation time point IOP found postoperative IOP than preoperative decline, the difference was statistically mathematical significance(P<0.05);postoperative each observation time point IOP pairwise comparisons statistical mathematical significance(P<0.05). 23 eyes (88.5%) had the functional filtering bleb,Ⅰtype filtering bleb in 14 eyes,Ⅱtype filtering bleb in 9 eyes, Cornea edema occurred in 7 eyes, shallow anterior chamber occurred in 3 eyes. No serious complication occurred in or after operation. Conclusion Combined surgery could control IOP effectively and restore acuity early with less complication. It is a safe effective and economic method and worth expanding.