CAJ | 학술논문

目的：探讨三角形巩膜瓣在青光眼白内障联合手术中应用的可行性及疗效。方法对26例（28眼）青光眼合并白内障患者采用三角形巩膜瓣下小梁切除联合隧道小切口白内障摘除及后房型人工晶状体植入术，术后随访3个月至6个月，观察术后视力、眼压、滤过泡。结果术后矫正视力﹤0.1者3眼（10.71%），0.12~0.3者9眼（32.14%），
목적：탐토삼각형공막판재청광안백내장연합수술중응용적가행성급료효。방법대26례（28안）청광안합병백내장환자채용삼각형공막판하소량절제연합수도소절구백내장적제급후방형인공정상체식입술，술후수방3개월지6개월，관찰술후시력、안압、려과포。결과술후교정시력﹤0.1자3안（10.71%），0.12~0.3자9안（32.14%），
Objective To investigate application of triangular scleral flap in combined surgery of glaucoma cataract. Methods Twenty-six patients(28 eyes)with glaucoma and cataract were used triangle sclera flap trabeculectomy,tunnel small incision cataract extraction,and posterior chamber intraocular lens implantation. The patients were followed up from 3 months to 6 months for observing the vision,intraocular pressure. Results There were 3 eyes of postoperative visual acuity ﹤ 0. 1 (10. 71% ),9 eyes of 0. 12 ~ 0. 3(32. 14% ),16 eyes ﹥ 0. 4(57. 14% ),all the visual acuity was improved in various de-grees. Preoperative intraocular pressure was 28 ~ 50 mm Hg(1 mm Hg = 0. 133 kPa). Postoperative intraocular pressure:26 eyes maintained at normal pressure,2 eyes intraocular pressure slightly higher than normal,auxiliary hypotensive eyedrop can maintain the normal intraocular pressure,achieve functional filtering blebs in 26 eyes(92. 86% ),no serious complications oc-curred. Conclusion Treatment using triangle sclera flap trabeculectomy,tunnel small incision cataract extraction,and posterior chamber intraocular lens implantation used for the treatment of glaucoma complicated with cataract surgery can effectively control intraocular pressure,and improve visual acuity.