CAJ | 학술논문

　　目的探讨采用改良的巩膜瓣联合巩膜隧道切口施行非超声乳化白内障青光眼联合手术治疗青光眼合并白内障的临床效果。方法对45例（45眼）青光眼并发白内障的患者采用改良的巩膜瓣联合巩膜隧道切口施行非超声乳化白内障摘除人工晶体植入联合小梁切除术，术后随访观察视力、眼压、滤过泡、前房、人工晶体位置等情况。结果41眼视力比术前有不同程度提高。指数者3眼，＜0.1者2眼，0.1～0.3者13眼，0.3以上者24眼，眼压均在正常范围，平均眼压为（13.25±3.10）mmHg（1mmHg=0.133kPa）。结论采用改良的巩膜瓣联合巩膜隧道切口施行非超声乳化白内障青光眼联合手术，术后能获得良好的视力恢复与眼压控制，手术时间短，手术操作易于掌握，术中并发症少，手术费用低，适合开展。
　　목적탐토채용개량적공막판연합공막수도절구시행비초성유화백내장청광안연합수술치료청광안합병백내장적림상효과。방법대45례（45안）청광안병발백내장적환자채용개량적공막판연합공막수도절구시행비초성유화백내장적제인공정체식입연합소량절제술，술후수방관찰시력、안압、려과포、전방、인공정체위치등정황。결과41안시력비술전유불동정도제고。지수자3안，＜0.1자2안，0.1～0.3자13안，0.3이상자24안，안압균재정상범위，평균안압위（13.25±3.10）mmHg（1mmHg=0.133kPa）。결론채용개량적공막판연합공막수도절구시행비초성유화백내장청광안연합수술，술후능획득량호적시력회복여안압공제，수술시간단，수술조작역우장악，술중병발증소，수술비용저，괄합개전。
Objective To evaluate the clinical effect of modified scleral valve combined with scleral tunnel incision nonphacoemulsification cataract surgery combined with trabeculectomy. Methods Forty-five eyes of 45 patients with glaucoma and cataract were treated with nonphacoemulsification cataract surgery combined with trabeculectomy under modified scleral valve combined with scleral tunnel incision .Visual acuity,intraocular pressure ,filtering bleb,the anterior chamber depth and the position of intraocular lens were observed after the surgery. Results Forty-one patients achieved better visual acuity(finger count in 3 eyes,<0.1 in 2 eyes,0.1 to 0.3 in 13 eyes and >0.3 in 24 eyes)and the mean postoperative intraocular pressure was (13.25± 3.10)mmHg(1mm Hg=0.133kPa).Conclusions Modified scleral valve combined with scleral tunnel incision nonphacoemulsification cataract surgery combined with trabeculectomy is an effective way in improving visual acuity and reducing intraocullar pressure ,the time of surgery is short ,surgery operation is easy to be grasp,the less complication,the less expensive PMMA IOL can be used.