Yu C B, Chong N H, Caesar R H, Boodhoo M G, Condon R W
St. Peter's Hospital, Chertsey, England.
J Cataract Refract Surg. 1996 Apr;22(3):352-7. doi: 10.1016/s0886-3350(96)80249-5.
To compare the long-term results of combined extracapsular cataract extraction (ECCE), intraocular lens (IOL) implantation, and trabeculectomy with those of trabeculectomy alone in low-risk patients.
An ophthalmic department in a British general district hospital.
We did a retrospective analysis of the case records of all low-risk patients who had either combined ECCE, IOL implantation, and trabeculectomy (combined group) or trabeculectomy alone between August 1991 and February 1993 with a minimum of 12 months follow-up (mean 21 months). The combined group comprised 21 patients (14 women) and the trabeculectomy group, 24 patients (18 women). The mean ages were 79.8 years (range 66 to 90 years) and 76.0 years (range 61 to 87 years), respectively. We measured final intraocular pressure (IOP), number of medications used, best corrected visual acuity, visual field, and complication rates.
Average IOPs at diagnosis, the preoperative visit, and last follow-up visit were 27.6, 23.1, and 15.6 mm Hg, respectively, in the combined group and 31.8, 26.7, and 15.3 mm Hg, respectively, in the trabeculectomy group. The differences between groups were not statistically significant at any stage. All patients had an IOP lower than 22 mm Hg at the last follow-up. In more than 75% of patients in the combined group, visual acuity improved by more than one Snellen line.
The combined procedure compared favorably with trabeculectomy alone in low-risk patients.
比较在低风险患者中，囊外白内障摘除术（ECCE）、人工晶状体（IOL）植入术和小梁切除术联合应用与单纯小梁切除术的长期效果。
英国一家普通地区医院的眼科。
我们对1991年8月至1993年2月期间所有接受ECCE、IOL植入术和小梁切除术联合治疗（联合组）或单纯小梁切除术的低风险患者的病例记录进行了回顾性分析，随访时间至少12个月（平均21个月）。联合组包括21例患者（14例女性），小梁切除术组包括24例患者（18例女性）。平均年龄分别为79.8岁（范围66至90岁）和76.0岁（范围61至87岁）。我们测量了最终眼压（IOP）、使用的药物数量、最佳矫正视力、视野和并发症发生率。
联合组诊断时、术前访视时和最后随访时的平均眼压分别为27.6、23.1和15.6 mmHg，小梁切除术组分别为31.8、26.7和15.3 mmHg。两组之间在任何阶段的差异均无统计学意义。所有患者在最后随访时眼压均低于22 mmHg。联合组中超过75%的患者视力提高超过一行Snellen视力表。
在低风险患者中，联合手术与单纯小梁切除术相比效果良好。
