[超声乳化白内障吸除术在白内障合并青光眼联合手术中的作用]
[The contribution of phacoemulsification to combined cataract and glaucoma surgery].
作者信息
Zhu H, Wei R, Li Y, Cai J, Zhou H
机构信息
Department of Ophthalmology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
出版信息
Zhonghua Yan Ke Za Zhi. 2000 Mar;36(2):95-7.
OBJECTIVE
To study the safety and effectiveness of phacoemulsification (phaco) in trabeculectomy combined with cataract extraction (phacotrabeculectomy) and posterior chamber intraocular lens (IOL) implantation.
METHODS
68 eyes with glaucoma and cataract were randomly divided into two groups: the phacotrabeculectomy with IOL implantation and modern extracapsular cataract extraction (ECCE), trabeculectomy and IOL implantation.
RESULTS
Postoperatively, in the phaco group, the intraocular pressure (IOP) decreased obviously at the early stage (P < 0.05), the number of cases necessary for the use of anti-glaucoma drug was decreased, the mean kinds of the drug applied were markedly decreased (P < 0.05), the visual acuity improved quickly, significantly and steadily, and the complications were less than that in the ECCE group.
CONCLUSIONS
The phaco's triple surgery is safe and effective. In cases with glaucoma and cataract, the surgery is indicated even when the cataract is not mature or premature.
目的
研究小梁切除术联合白内障摘除术（晶状体超声乳化小梁切除术）及后房型人工晶状体植入术中超声乳化术的安全性和有效性。
方法
将68例青光眼合并白内障患者随机分为两组：晶状体超声乳化小梁切除术联合人工晶状体植入术与现代囊外白内障摘除术（ECCE）、小梁切除术联合人工晶状体植入术。
结果
术后，超声乳化组早期眼压（IOP）明显降低（P < 0.05），使用抗青光眼药物的病例数减少，应用药物的平均种类显著减少（P < 0.05），视力改善迅速、显著且稳定，并发症少于ECCE组。
结论
超声乳化三联手术安全有效。对于青光眼合并白内障患者，即使白内障未成熟或处于早期也可进行该手术。
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