朱晓宇，杭春玖



超声乳化白内障吸除联合小梁切除术治疗闭角型青光眼合并白内障

朱晓宇，杭春玖

Department of Ophthalmology, Yangzhou No.1 People’s Hospital,Yangzhou 225000, Jiangsu Province, China

•METHODS: To observe the visual acuity, intraocular pressure and complications for 3-12mo after surgery as a retrospective study of 65 patients(70 eyes) with cataract and glaucoma.

•RESULTS: The visual acuity of 2 eyes was lower than 0.1, 6 eyes were ranged from 0.1 to 0.3, 60 eyes were from 0.4 to 0.8, 2 eyes were over 1.0. The postoperative intraocular pressure of 26 eyes were effective controlled. The postoperative shallow anterior chamber occurred in 1 eye.

•CONCLUSION: It is an ideal treatment to take dual-incision phacoemulsification and intraocular lens implantation combined with trabeculectomy in cataract and glaucoma patients and it shows better effects than normal operation method.

目的：探讨双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障的临床疗效。

方法：回顾分析双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障患者65例70眼，术后随访3～12mo，观察视力、眼压及并发症的发生。

结果：术后患者视力≤0.1者2眼，>0.1～0.3者6眼，0.4～0.8者60眼，≥1.0者2眼，术后眼压在正常范围内(<21mmHg)者69眼，1眼术后出现浅前房，经治疗改善。

结论:双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障手术成功率高，疗效佳，是一种理想的手术方式。

青光眼；白内障；双切口；联合手术

引用：朱晓宇，杭春玖.超声乳化白内障吸除联合小梁切除术治疗闭角型青光眼合并白内障.国际眼科杂志2016;16(11):2148-2149

0　引言

闭角型青光眼和白内障都是临床常见的两种致盲性眼病[1]，而闭角型青光眼患者往往均伴有不同程度的白内障，当病情发展到一定程度，患者的生活质量会受到严重的影响[2]。如果对这类闭角型青光眼的患者单纯行小梁切除术，一是影响最终的抗青光眼术后眼压控制效果，二是术后视力不能得到很好的恢复。因而需要再次行白内障吸除人工晶状体植入术，这就给患者带来了身体上和经济上的双重负担[3]。我们采取双切口白内障超声乳化吸除人工晶状体植入联合小梁切除术治疗闭角型青光眼伴有白内障的患者[4]，取得了较好的疗效，报告如下。