[基于个人资料的超声乳化白内障吸除术联合小梁切除术]
[Phacoemulsification combined with trabeculectomy from personal material].
作者信息
Szaflik Jerzy, Liberek Iwona, Kamińska Anna, Chudzyńska-Zawadzka Danuta, Borucka Anna I, Skłodowska Anna
机构信息
Katedry i Kliniki Okulistyki II Wydziału Lekarskiego Akademii Medycznej, Centrum Mikrochirurgii Oka, LASER w Warszawie.
出版信息
Klin Oczna. 2003;105(3-4):147-50.
AIM
The aim of the study was to establish the efficiency of phacoemulsification combined with trabeculectomy in patients with cataract and glaucoma.
MATERIAL AND METHODS
102 patients (112 eyes) with cataract and glaucoma, who were operated between 1998 and 2001. The follow up time--from 6 month to 3 years. Intraocular pressure (IOP), drug therapy and visual acuity were analysed.
RESULTS
Mean intarocular pressure after phacotrabeculectomy dropped from 21.6 mmHg to 14.9 mmHg. The average number of medications dropped from 2.6 to 1.2. Visual acuity improvement was achieved in 93.7% of the eyes.
CONCLUSIONS
Phacoemulsification combined with trabeculectomy is safe and efficacious method of treatment of patients with coexisting cataract and glaucoma; shortens visual rehabilitation period and secures long-term postoperative IOP.
目的
本研究的目的是确定白内障超声乳化吸除联合小梁切除术治疗白内障合并青光眼患者的疗效。
材料与方法
102例（112只眼）白内障合并青光眼患者于1998年至2001年间接受手术。随访时间为6个月至3年。分析眼压（IOP）、药物治疗及视力情况。
结果
白内障小梁切除术后平均眼压从21.6 mmHg降至14.9 mmHg。平均用药数量从2.6种降至1.2种。93.7%的术眼视力得到改善。
结论
白内障超声乳化吸除联合小梁切除术是治疗白内障合并青光眼患者的一种安全有效的方法；可缩短视力恢复时间并确保术后眼压长期稳定。
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