Wójcik-Niklewska Bogumiła, Michalska-Małecka Katarzyna, Markowska Joanna, Korzekwa Witold, Romaniuk Wanda
Oddziału Klinicznego Chorób Oczu Slaskiej Akademii Medycznej, Wojewódzki Szpital Specjalistyczny nr 5 im. św. Barbary w Sosnowcu.
Klin Oczna. 2004;106(1-2 Suppl):190-1.
To compare the results obtained after phacotrabeculectomy followed by implantation of an intracapsular lens in patients with cataract and chronic open angle glaucoma, and patients with cataract and pseudoexfoliation open angle glaucoma.
The retrospective study covered 55 eyes with cataract and glaucoma. In 28 eyes, chronic open angle glaucoma was diagnosed, and in 27--pseudoexfoliation glaucoma. In all cases, phacoemulsification of the opacified lens was carried out, a foldable intraocular lens was implanted in the capsule, and the trabeculum was removed by means of a punch. Visual acuity, intraocular pressure and the ratio of applied anti-glaucoma drugs were subject to the assessment.
The observation period was 12 months. Within the COAG patient group, the average visual acuity prior to the surgery was 0.2+/-0.24, and after one year from the surgery it increased to 0.82+/-0.22. For PEX glaucoma patients, the values were respectively 0.3+/-0.25 before the surgery and 0.75+/-0.29 a year after it. Considerable reduction of the intraocular pressure was also achieved: in the COAG patients--from 19.51+/-3.8 mm Hg to 16.6+/-1.6 mm Hg, and in PEX glaucoma patients--from 22.28+/-5.18 mm Hg to 17.6+/-2.33 mm Hg one year after the surgery. Also, the quantity of anti-glaucoma drugs applied in the study groups was significantly reduced. The anti-glaucoma drug ratio in the COAG patients dropped from 1.8 to 0 after the surgery, and in the PEX glaucoma patients--from 2.3 to 0.3.
Phacotrabeculectomy is an efficient and safe surgical method, to be recommended for patients both with primary open angle glaucoma and with pseudoexfoliation glaucoma.
比较白内障合并慢性开角型青光眼患者以及白内障合并假性剥脱性开角型青光眼患者行晶状体超声乳化摘除联合囊内人工晶状体植入术后的结果。
这项回顾性研究涵盖了55只患有白内障和青光眼的眼睛。其中28只眼睛被诊断为慢性开角型青光眼，27只眼睛为假性剥脱性青光眼。所有病例均进行了混浊晶状体的超声乳化术，在囊袋内植入了可折叠人工晶状体，并通过打孔器切除小梁。对视力、眼压以及所用抗青光眼药物的比例进行了评估。
观察期为12个月。在慢性开角型青光眼患者组中，手术前平均视力为0.2±0.24，术后一年增至0.82±0.22。对于假性剥脱性青光眼患者，手术前和术后一年的值分别为0.3±0.25和0.75±0.29。眼压也有显著降低：慢性开角型青光眼患者术后眼压从19.51±3.8毫米汞柱降至16.6±1.6毫米汞柱，假性剥脱性青光眼患者术后一年眼压从22.28±5.18毫米汞柱降至17.6±2.33毫米汞柱。此外，研究组中所用抗青光眼药物的数量也显著减少。慢性开角型青光眼患者术后抗青光眼药物比例从1.8降至0，假性剥脱性青光眼患者从2.3降至0.3。
晶状体超声乳化小梁切除术是一种有效且安全的手术方法，推荐用于原发性开角型青光眼和假性剥脱性青光眼患者。
