CAJ | 학술논문

目的：探讨研究透明角膜切口超声乳化术与经颞侧巩膜隧道小切口白内障摘出术治疗青光眼后白内障的临床效果。方法选取医院83例（87眼）青光眼术后白内障患者作为研究对象，分为Ⅰ组42例（44眼）和Ⅱ组41例（43眼），Ⅰ组采用透明角膜切口超声乳化术进行治疗，Ⅱ组采用经颞侧巩膜隧道小切口白内障摘出术治疗。观察2组患者术前术后的眼压水平、角膜内皮计数、术中术后并发症，评价2种术式临床效果。结果Ⅰ组患者视力恢复率为63.64％，Ⅱ组患者视力恢复率为60.47％，2组比较差异无统计学意义（P﹥0.05）；Ⅰ组患者术后出现眼压过高症状4眼，Ⅱ组术后出现眼压过高6眼，经治疗后均可恢复正常；2组患者经治疗后角膜内皮计数指标均得到改善，比较差异无统计学意义（P﹥0.05）；2组患者均出现一定程度的术中术后并发症，发生例数无显著差异。结论透明角膜切口超声乳化术和颞侧巩膜隧道小切口白内障摘出术均为临床治疗青光眼术后白内障的有效方式，应根据患者眼部情况以及实际需求选择合理的手术方式。
목적：탐토연구투명각막절구초성유화술여경섭측공막수도소절구백내장적출술치료청광안후백내장적림상효과。방법선취의원83례（87안）청광안술후백내장환자작위연구대상，분위Ⅰ조42례（44안）화Ⅱ조41례（43안），Ⅰ조채용투명각막절구초성유화술진행치료，Ⅱ조채용경섭측공막수도소절구백내장적출술치료。관찰2조환자술전술후적안압수평、각막내피계수、술중술후병발증，평개2충술식림상효과。결과Ⅰ조환자시력회복솔위63.64％，Ⅱ조환자시력회복솔위60.47％，2조비교차이무통계학의의（P﹥0.05）；Ⅰ조환자술후출현안압과고증상4안，Ⅱ조술후출현안압과고6안，경치료후균가회복정상；2조환자경치료후각막내피계수지표균득도개선，비교차이무통계학의의（P﹥0.05）；2조환자균출현일정정도적술중술후병발증，발생례수무현저차이。결론투명각막절구초성유화술화섭측공막수도소절구백내장적출술균위림상치료청광안술후백내장적유효방식，응근거환자안부정황이급실제수구선택합리적수술방식。
Objective To observe the clinical effect of clear corneal incision phacoemulsification and through tempo-ral scleral tunnel small incision cataract operation in treatment of cataract after glaucoma surgery. Methods 83 cases of our hospital(87 eyes)with cataract after glaucoma surgery patients were selected as the research object,and were divided into group Ⅰ(44 eyes)and group Ⅱ(43 eyes). The group Ⅰ was treated with clear corneal incision phacoemulsification,while the group Ⅱ was through temporal scleral tunnel small incision cataract surgery for treatment. The intraocular pressure level, corneal endothelial cell counting,intraoperative and postoperative complications were observed. Results The vision recovery rate of group Ⅰ was 63. 64% ,and the vision recovery rate of group Ⅱwas 60. 47% ,there was no statistically significant(P ﹥0. 05);There were 4 eyes with ocular hypertension symptoms in group Ⅰ,there were 6 eyes with ocular hypertension symptoms in group Ⅱ,this can be recovered after treatment. The corneal endothelial cell counting indicators of 2 groups improved,There was no significant differences between 2 groups(P ﹥ 0. 05);Both groups had postoperative complications,and there was no sig-nificant difference in the number of cases. Conclusion Transparent corneal incision phacoemulsification and temporal scleral tunnel small incision cataract operation are all effective way to cure cataract after glaucoma surgery,operation mode should be selected according to the actual needs.