单部位与双部位晶状体小梁切除术的比较。

Comparison of 1-site versus 2-site phacotrabeculectomy.

作者信息

Shingleton Bradford J, Price Richard S, O'Donoghue Mark W, Goyal Supriya

机构信息

Ophthalmic Consultants of Boston, Boston, Massachusetts 02114, USA.

出版信息

J Cataract Refract Surg. 2006 May;32(5):799-802. doi: 10.1016/j.jcrs.2006.01.072.

DOI:10.1016/j.jcrs.2006.01.072

PMID:16765798

Abstract

PURPOSE

To compare the results of 1-site versus 2-site combination glaucoma filtration and phacoemulsification surgery with respect to visual acuity, intraocular pressure (IOP), and glaucoma medication requirements via a case control study.

METHODS

Results of 2-site phacotrabeculectomy surgery in 64 eyes of 59 patients were retrospectively reviewed with a minimum follow-up of 1 year. The 2-site procedures were compared with a randomly chosen control group of 71 1-site phacotrabeculectomies performed by the same surgeon.

RESULTS

The presurgical visual acuity, IOP, and glaucoma medication requirements did not differ significantly between the 2 groups. Mean final postoperative results at 1 year for 2-site versus 1-site eyes, respectively, were visual acuity 0.32 +/- 0.353 (SD) and 0.32 +/- 0.37 (P = .99), IOP 15.0 +/- 3.7 mm Hg and 15.1 +/- 6.3 mm Hg (P = .97), and glaucoma medication requirements 0.43 +/- 0.90 and 0.61 +/- 1.1 (P = .52).

CONCLUSION

There was no statistically significant difference in the final visual acuity, IOP, or glaucoma medication requirements between the 2-site and 1-site groups.

摘要

目的

通过病例对照研究，比较单部位与双部位联合青光眼滤过及白内障超声乳化手术在视力、眼压（IOP）和青光眼药物需求方面的结果。

方法

回顾性分析59例患者64只眼的双部位白内障小梁切除术的结果，随访时间至少1年。将双部位手术与同一外科医生随机选择的71例单部位白内障小梁切除术对照组进行比较。

结果

两组术前视力、眼压和青光眼药物需求无显著差异。双部位与单部位眼术后1年的平均最终结果分别为：视力0.32±0.353（标准差）和0.32±0.37（P = 0.99），眼压15.0±3.7 mmHg和15.1±6.3 mmHg（P = 0.97），青光眼药物需求0.43±0.90和0.61±1.1（P = 0.52）。