【摘要】 目的　报告采用超声乳化白内障摘除人工晶状体植入联合小梁切除术治疗青光眼合并白内障手术方式选择不同切口。评价 3 .2 mm小切口 (三联方法 )的安全性及有效性。方法　本组 47例青光眼合并白内障患者(61只眼 ) ,采用角巩膜 10～ 11点方位后 3 m m隧道式切口 ,植入后房型人工晶状体后行小梁切除术。结果　术后随访 3～ 6个月 ,平均眼压降至 0 .95～ 2 .75 k Pa范围 ,较术前平均降 2 .15 k Pa。视力 :手动 8只眼 ,2 0～ 5 0 cm指数者 10只眼 ,0 .0 5～ 0 .0 8者 13只眼 ,0 .1～ 0 .6者 3 0只眼。本组病例未发生瞳孔及虹膜咬伤、后囊破裂等并发症。结论　白内障的中期即可行超声乳化白内障摘除人工晶状体植入术联合小梁切除术 ,避免了再次手术 ,提高了视力并且眼压控制良好更多还原

【Abstract】 Objective To investigate the effectiveness of phaco-trabeculectomy and IOL implantation with small sclera tunnel incision in patients with cataract and glaucoma.Methods 47 cases (61 eyes) with cataract and glaucoma treated with phaco-trabeculectomy and IOL implantation by a small sclera tunnel incision (3.2mm) were retrospectively reviewed.Results After 3～6 months follow-up,the intraocular pressure was 0.95～2.75 kPa and the visual acuity was 0.1～0.6 in 30 eyes,less than 0.1 in 31 eyes.The complications of corneal edema and exudation on IOL could be seen after operation.Conclusion The techniques of phaco-trabeculectomy and IOL implantation with small sclera tunnel incision in patients with cataract and glaucoma were safe and effective in clinical practice,the burdens of another operation was avoided and the intraocular pressure of patients was well controlled,the visual acuity was improved as well.更多还原