Kim J W, Jung C I, Hwang H S
Department of Ophthalmology, School of Medicine, Catholic University of Taegu-Hyosung, Korea.
Korean J Ophthalmol. 1998 Jun;12(1):30-6. doi: 10.3341/kjo.1998.12.1.30.
The objective of this study is to evaluate and compare the effects of three combined phacoemulsification and trabeculectomy procedures procedures (phacotrabeculectomy) involving intraocular lens implantation through a single incision. Twenty-eight eyes of 28 patients suffering from chronic open angle glaucoma and chronic angle closure glaucoma were enrolled in this study. No-stitch phacotrabeculectomy (Group A), modified T-flap phacotrabeculectomy (Group B) and phacotrabeculectomy with sutures (Group C) were performed in 11, eight, and nine patients respectively, who were followed up for 6 months. At the end of that period, the mean reduction of intraocular pressure was 6.39 mm Hg; in group A, B and C, the reduction was 3.27, 4.87 and 11.55 mm Hg, respectively. The procedure followed in group C was therefore most effective, and there was a statistically significant difference between the groups (p < 0.05). The survival rate of blebs was also marked in group C. There were no apparent differences in terms of visual improvement, complications and number of medications between the groups. This study suggests that the choice of procedure should be determined by the desired degree of pressure reduction.
本研究的目的是评估和比较三种通过单一切口植入人工晶状体的白内障超声乳化吸除联合小梁切除术（白内障小梁切除术）的效果。28例患有慢性开角型青光眼和慢性闭角型青光眼的患者的28只眼纳入本研究。分别对11例、8例和9例患者进行了无缝线白内障小梁切除术（A组）、改良T形瓣白内障小梁切除术（B组）和有缝线白内障小梁切除术（C组），并对其进行了6个月的随访。在该时期结束时，眼压平均降低6.39 mmHg；在A组、B组和C组中，眼压降低分别为3.27 mmHg、4.87 mmHg和11.55 mmHg。因此，C组采用的手术最有效，且组间差异有统计学意义（p<0.05）。C组滤过泡的存活率也较高。各组之间在视力改善、并发症和用药数量方面无明显差异。本研究表明，手术方式的选择应根据期望的眼压降低程度来决定。
