中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
5期
606-608
,共3页
OZIL模式%白内障%青光眼%联合手术
OZIL模式%白內障%青光眼%聯閤手術
OZIL모식%백내장%청광안%연합수술
OZIL modes%Cataract%Glaucoma%Combined operation
目的 探讨应用OZIL模式超声乳化联合小梁切除术治疗白内障合并青光眼的临床疗效.方法 于2009年1月至2012年7月收治的白内障合并青光眼患者63例(65只眼)应用OZIL模式施行白内障青光眼联合手术,对手术后眼压、视力变化和并发症等情况进行了观察.结果 手术后随访3～39个月,平均(19.68±9.22)个月,术后矫正视力均有不同程度提高.61只眼眼压稳定在10～21 mmHg,平均(15.84±3.18) mm Hg,4只眼眼压较术前下降,经药物治疗可控制在正常范围.55只眼呈扁平的功能性滤过泡,6只眼呈泡状滤过泡,4只眼滤过泡不明显.未出现严重不可逆性并发症.结论 应用OZIL模式超声乳化联合小梁切除术治疗白内障合并青光眼,明显提高了手术效率以及手术的安全性,降低眼压的同时增进了视力.
目的 探討應用OZIL模式超聲乳化聯閤小樑切除術治療白內障閤併青光眼的臨床療效.方法 于2009年1月至2012年7月收治的白內障閤併青光眼患者63例(65隻眼)應用OZIL模式施行白內障青光眼聯閤手術,對手術後眼壓、視力變化和併髮癥等情況進行瞭觀察.結果 手術後隨訪3～39箇月,平均(19.68±9.22)箇月,術後矯正視力均有不同程度提高.61隻眼眼壓穩定在10～21 mmHg,平均(15.84±3.18) mm Hg,4隻眼眼壓較術前下降,經藥物治療可控製在正常範圍.55隻眼呈扁平的功能性濾過泡,6隻眼呈泡狀濾過泡,4隻眼濾過泡不明顯.未齣現嚴重不可逆性併髮癥.結論 應用OZIL模式超聲乳化聯閤小樑切除術治療白內障閤併青光眼,明顯提高瞭手術效率以及手術的安全性,降低眼壓的同時增進瞭視力.
목적 탐토응용OZIL모식초성유화연합소량절제술치료백내장합병청광안적림상료효.방법 우2009년1월지2012년7월수치적백내장합병청광안환자63례(65지안)응용OZIL모식시행백내장청광안연합수술,대수술후안압、시력변화화병발증등정황진행료관찰.결과 수술후수방3～39개월,평균(19.68±9.22)개월,술후교정시력균유불동정도제고.61지안안압은정재10～21 mmHg,평균(15.84±3.18) mm Hg,4지안안압교술전하강,경약물치료가공제재정상범위.55지안정편평적공능성려과포,6지안정포상려과포,4지안려과포불명현.미출현엄중불가역성병발증.결론 응용OZIL모식초성유화연합소량절제술치료백내장합병청광안,명현제고료수술효솔이급수술적안전성,강저안압적동시증진료시력.
Objective To observe the clinical effect inphacoemulsification using OZIL modes combinedwith trabeculotomyfor the treatment of coexisting cataractand glaucoma.Methods Sixw-three cases (65 eyes) of cataract combined with glaucoma were included in the studyin our hospital from January 2009 to July 2012.Combined operations with OZILModes were used and intraocular pressure,vision acuity and complications after operations were observed.Results Followed up for 3 to 39 months,averaged (19.68±9.22) months.Postoperative visual acuity was improved to different degrees,intraoeular pressure of 61eyes stabilized at 10-21 mmHg,averaged(15.84 ± 3.18)mmHg;while another 4 eyes,the IOP was well-controlled with anti-glaucoma medications.After operation there were flat functional filtering blebs in 55 eyes,vesicular blebs in 6 eyes,no obvious blebs in 4eyes.There were no serious irreversible complications.Conclusions It can obviously improve the operation efficiency and safety,reduce IOP and improve the visual acuitywithphacoemulsification using OZIL modes combinedwith trabeculotomy in combined operations.
