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目的观察并探讨超声乳化联合小梁切除术治疗青光眼合并白内障临床效果及安全性。方法回顾性分析我院眼科2006年3月至2010年9月行超声乳化联合小梁切除术治疗青光眼合并白内障患者87例临床治疗资料,评价临床治疗效果及安全性。结果全部87例(90眼)患者术后最佳矫正视力较术前均有明显提高,差异有统计学意义(P<0.05);患者手术治疗后平均眼压与手术前相比明显下降,组间比较差异有统计学意义(P<0.05);同时患者中8眼出现角膜水肿,经治疗后均于3d内消失;3眼出现低眼压症状,经治疗后眼压恢复正常;2眼出现前房渗出,经治疗后自行吸收;1眼出现角膜萎缩;无视网膜脱落,后囊破裂等严重并发症发生。结论超声乳化联合小梁切除术治疗青光眼合并白内障临床效果确切,能够有效改善视力,降低眼压,同时术后无严重并发症,具有临床推广使用价值。
Objective To observe and discuss the clinical effect and safety of phacoemulsification combined with trabeculectomy in the treatment of glaucoma and cataract. Methods A retrospective analysis of our hospital ophthalmology March 2006 to September 2010 phacoemulsification combined with trabeculectomy in patients with glaucoma and cataract surgery in 87 cases of clinical data to evaluate the efficacy and safety of clinical treatment. Results All the 87 cases (90 eyes) had the best corrected visual acuity (P <0.05) after operation. The mean IOP of the patients after operation was significantly lower than that before operation There was a significant difference between the two groups (P <0.05). At the same time, corneal edema occurred in 8 eyes and disappeared within 3 days after treatment. Ocular ocular hypotension was observed in 3 eyes and the intraocular pressure returned to normal after treatment. Anterior chamber exudation, self-absorption after treatment; 1 corneal atrophy; no retinal detachment, posterior capsule rupture and other serious complications. Conclusion Phacoemulsification combined with trabeculectomy in the treatment of glaucoma and cataract has the exact clinical effect, which can effectively improve the visual acuity and reduce the intraocular pressure. At the same time, there is no serious complication after operation, which has the value of clinical popularization and use.