CAJ | 학술논문

目的：探讨小切口白内障囊外摘除联合人工晶状体植入及小梁切除术治疗急性闭角型青光眼合并白内障的临床疗效。方法选择41例41只眼青光眼合并老年性白内障患者作为研究对象，均接受小切口白内障囊外摘除联合人工晶状体植人及小梁切除术治疗，观察手术前后视力、眼压、术后并发症。结果术后随访6个月，平均眼压由术前的31.5±6.5mmHg降至11.2±3.5mmHg,差异有统计学意义(P <0.05)；视力均有不同程度提高，差异有统计学意义( P <0.05)。所有患者无严重并发症发生。结论白内障囊外摘除联合人工晶状体植入及小梁切除术治疗急性闭角型青光眼合并老年性白内障不仅安全有效、而且术后并发症轻微，值得临床推广应用。
목적：탐토소절구백내장낭외적제연합인공정상체식입급소량절제술치료급성폐각형청광안합병백내장적림상료효。방법선택41례41지안청광안합병노년성백내장환자작위연구대상，균접수소절구백내장낭외적제연합인공정상체식인급소량절제술치료，관찰수술전후시력、안압、술후병발증。결과술후수방6개월，평균안압유술전적31.5±6.5mmHg강지11.2±3.5mmHg,차이유통계학의의(P <0.05)；시력균유불동정도제고，차이유통계학의의( P <0.05)。소유환자무엄중병발증발생。결론백내장낭외적제연합인공정상체식입급소량절제술치료급성폐각형청광안합병노년성백내장불부안전유효、이차술후병발증경미，치득림상추엄응용。
Objetive To investigate the clinical effects of small-incision extracapsular cataract extraction, combined with posterior chamber lens implantation and trabeculectomy in the management of angle-closure glaucoma patients with cataract. Method 41 cases ( 41eyes ) of angle-closure glaucoma patients with senile cataract underwent the operation of small-incision extracapsular cataract extraction, posterior chamber lens implantation and trabeculectomy. The visual acuity, intraocular pressure and postoperative complications were observed. Result The patients were followed up for 6 months. The mean IOP significantly decreased from 31.5±6.5mmHg to 11.2±3.5mmHg postoperatively ( P< 0. 05). The postoperative visual acuity became better in different degrees in all eyes( P< 0. 05).No serious complications occurred in all cases. Conclusion The operation of small-incision extracapsular cataract extraction, posterior chamber lens implantation and trabeculectomy for the angle-closure glaucoma patients with cataract is safe and effective with minor postoperative complications, which deserves clinical application and recommendation.