【摘要】 目的评价白内障超声乳化吸出、人工晶状体植入联合隧道内小梁切除术(三联手术)治疗青光眼合并白内障的疗效。方法对26例(28眼)青光眼合并白内障施行超声乳化及人工晶状体植入联合隧道内小梁切除。结果术后末次随访,矫正视力为0.05～1.0,其中<0.1者2眼(7.14%),0.1～0.5者17眼(60.71%),>0.5者9眼(32.14%)。术后眼压全部降至正常范围,平均眼压(14.93±3.80)mmHg。术后根据Kronfeld分类,Ⅰ、Ⅱ型功能滤过泡24眼(85.71%)。术后有角膜水肿5眼(17.86%),浅前房3眼(10.71%)。结论白内障超声乳化人工晶状体植入联合隧道内小梁切除术是治疗青光眼合并白内障的良好方法。更多还原

【Abstract】 Objective To evaluate the effect of combined phacoemulsification, intraocular lens implantation and trabeculectomy inside the tunnel(triple procedure) in patients with glaucoma and cataract. Methods Phacoemulsification and intraocular lens implantation combined with trabeculectomy inside the tunnel was performed on 28 eyes of glaucoma combined with cataract. Results After the follow-up period,the best corrected visual acuity were 0.05-1. 0, of which 2 eyes were <0.1 (7.14%), 17 eyes were 0.1-0.5(60.71%), 9 eyes were >0.5 (32.14%).Postoperatively,the intraocular pressure of all eyes decreased to the normal (mean,14.93±3. 80 mmHg).The filtering blebs of type Ⅰ and Ⅱ(functional) by Kronfeld’s classification presented in 85.71% of the eyes. 5 eyes had corneal edema (17.86%), and 3 eyes had shallow anterior chamber (10.71%). Conclusions The phacoemulsification and intraocular lens implantation combined with trabeculectomy inside the tunnel is a good method for glaucoma combined with cataract.更多还原