超聲乳化白內障吸除聯合小梁切除術治療閉角型青光眼合并白內障

朱曉宇，杭春玖

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超聲乳化白內障吸除聯合小梁切除術治療閉角型青光眼合并白內障

朱曉宇，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：探討雙切口白內障超聲乳化吸除人工晶狀體植入聯合小梁切除術治療閉角型青光眼合并白內障的臨床療效。

方法：回顧分析雙切口白內障超聲乳化吸除人工晶狀體植入聯合小梁切除術治療閉角型青光眼合并白內障患者65例70眼，術后隨訪3～12mo，觀察視力、眼壓及并發癥的發生。

結果：術后患者視力≤0.1者2眼，>0.1～0.3者6眼，0.4～0.8者60眼，≥1.0者2眼，術后眼壓在正常范圍內(<21mmHg)者69眼，1眼術后出現淺前房，經治療改善。

結論:雙切口白內障超聲乳化吸除人工晶狀體植入聯合小梁切除術治療閉角型青光眼合并白內障手術成功率高，療效佳，是一種理想的手術方式。

青光眼；白內障；雙切口；聯合手術

引用：朱曉宇，杭春玖.超聲乳化白內障吸除聯合小梁切除術治療閉角型青光眼合并白內障.國際眼科雜志2016;16(11):2148-2149

0　引言

閉角型青光眼和白內障都是臨床常見的兩種致盲性眼病[1]，而閉角型青光眼患者往往均伴有不同程度的白內障，當病情發展到一定程度，患者的生活質量會受到嚴重的影響[2]。如果對這類閉角型青光眼的患者單純行小梁切除術，一是影響最終的抗青光眼術后眼壓控制效果，二是術后視力不能得到很好的恢復。因而需要再次行白內障吸除人工晶狀體植入術，這就給患者帶來了身體上和經濟上的雙重負擔[3]。我們采取雙切口白內障超聲乳化吸除人工晶狀體植入聯合小梁切除術治療閉角型青光眼伴有白內障的患者[4]，取得了較好的療效，報告如下。