【摘要】 目的探讨手法小切口白内障摘出联合小梁切除术的临床疗效。方法急性闭角型青光眼合并白内障48例(52眼)在手法小切口白内障摘出术的巩膜隧道切口内作小梁切除术。观察术后视力、眼压及并发症。结果术后7天最佳矫正1.0有2眼,0.6-0.8有13眼,0.4-0.5有25眼,0.2-0.3有7眼,<0.1有5眼。术后视力平均提高3-4行,手术前后最佳矫正视力差异有统计学意义(<0.001)。术后眼压(12.20±2.45)mmHg。术后1周眼压9～18mmHg,平均降低8.25mmHg;3个月后术后眼压21mmHg以下49眼,眼压控制率为92.48%。术后眼压低于术前,差异有统计学意义(t=21.56,=0.000)。术后发生角膜内皮中度水肿3眼,前房积血2眼,后发性白内障2眼。结论手法小切口白内障摘出联合小梁切除术具有操作简单、损伤小、视力恢复快、降压效果好的优点,可有效治疗青光眼合并白内障。更多还原

【Abstract】 Objetive To evaluate the effect of manual small-incision extracapsular cataract extraction combined with trabeculectomy. Methods 48 cases(52 eyes) who suffered acute angle-closure glaucoma and cataract received trabeculectomy in the sclera incision that taken manual small-incision extracapsular cataract extraction. Postoperative visual acuity, intraocular pressure and complication were recorded. Results Postoperative best-correct visual acuity was 1.0 in 2 eyes,0.6-0.8 in 13 eyes, 0.4-0.5 in 25 eyes,0.2-0.3 in 7 eyes, less than 0.1 in 5 eyes. Average postoperative visual acuity is improved 2 lines. There were statistically significant differences between preoperative and postoperative visual acuity (P<0.001).Postoperative IOL is 12.20±2.45 mmHg. IOP was between 9-18mmHg one week after surgery. IOP was decreased about 8.25mmHg in average. IOP was less than 21mmHg 3 months after surgery. The differences had statistically significance. (t=21.56,p=0.000). There was corneal edema in 3 eyes, hyphema in 2 eyes, after-cataract in 2 eyes. Conclusion Manual small-incision extracapsular cataract extraction combined with trabeculectomy is a convenient, safe and reliable technique.更多还原