Gianoli F, Schnyder C C, Bovey E, Mermoud A
Hôpital Ophtalmique Jules Gonin, University of Lausanne, Switzerland.
J Cataract Refract Surg. 1999 Mar;25(3):340-6. doi: 10.1016/s0886-3350(99)80081-9.
To compare the outcome of phacoemulsification-intraocular lens (IOL) implantation combined with nonperforating deep sclerectomy (P-DS) with that of phacoemulsification-IOL implantation combined with trabeculectomy (P-T).
Glaucoma Unit, Department of Ophthalmology, University of Lausanne, Switzerland.
This prospective study involved 60 eyes of 60 patients with cataract and various types of open-angle glaucoma. Thirty eyes had P-DS and 30, P-T. Follow-up was performed at regular intervals for up to 18 months.
Mean follow-up was 12.5 months +/- 6.5 (SD) and 12.6 +/- 4.9 months for the P-DS and P-T groups, respectively. Mean preoperative intraocular pressure (IOP) was similar in both groups (24.8 +/- 5.9 mm Hg in the P-DS group and 24.6 +/- 7.2 mm Hg in the P-T group). There was no statistically significant difference in IOP decrease (14.2 +/- 4.0 mm Hg in the P-DS group and 15.2 +/- 2.8 mm Hg in the P-T group). Visual outcome was similar in both groups. The P-DS group experienced significantly less inflammation (40.0% versus 83.0%; P = .0012) and hyphema (6.7% versus 36.7%; P = .010) than the P-T group.
Deep sclerectomy combined with cataract surgery resulted in an IOP reduction similar to that with phacotrabeculectomy with the same visual outcome, but the lower complication rate makes ambulatory care easier.
比较超声乳化白内障吸除联合人工晶状体（IOL）植入术与非穿透性深层巩膜切除术（P-DS）和超声乳化白内障吸除联合小梁切除术（P-T）的疗效。
瑞士洛桑大学眼科青光眼科。
这项前瞻性研究纳入了60例患有白内障和各种类型开角型青光眼的患者的60只眼睛。30只眼睛接受了P-DS，30只眼睛接受了P-T。定期随访长达18个月。
P-DS组和P-T组的平均随访时间分别为12.5个月±6.5（标准差）和12.6±4.9个月。两组术前平均眼压（IOP）相似（P-DS组为24.8±5.9 mmHg，P-T组为24.6±7.2 mmHg）。眼压降低情况无统计学显著差异（P-DS组为14.2±4.0 mmHg，P-T组为15.2±2.8 mmHg）。两组的视力结果相似。P-DS组的炎症反应（40.0%对83.0%；P = 0.0012）和前房积血（6.7%对36.7%；P = 0.010）明显少于P-T组。
深层巩膜切除术联合白内障手术导致眼压降低的效果与超声乳化小梁切除术相似，视力结果相同，但较低的并发症发生率使门诊护理更容易。
