青光眼巩膜瓣与超声乳化白内障巩膜隧道一体式三联术有效性探讨

摘要

AIM:To observe the therapeutic effect of triple surgery in the treatment of glaucoma with cataract at different stages. METHODS:Totally 31 patients (55 eyes) with glaucoma and cataract were treated with phacoemulsification, lens implantation and trabeculectomy. Preoperation and postoperation of visual acuity, intraocular pressure, filtering bleb and postoperation complications were observed. RESULTS: After 6mo postoperation, the vision was significantly improved. The intraocular pressure was controlled in normal range and filtering bleb was good. There was a little complications after operation. CONCLUSION: Phacoemulsification intraocular lens implantation with anti-glaucoma establishes new aqueous humor outflow. It can effectively decrease intraocular pressure, deepen anterior chamber and improve vision, reduce all kinds of complications after simple glaucoma surgery.%目的：探讨不同进展时期的青光眼合并白内障采用青光眼巩膜瓣与超声乳化白内障巩膜隧道切口一体式三联手术的临床效果。　　方法：对31例55眼青光眼合并白内障患者采用巩膜瓣联合巩膜隧道切口行三联手术，对比术前术后视力、眼压、滤过泡、术后并发症。　　结果：术后6mo，视力较术前均有明显提高，眼压得到控制，滤过泡弥漫，术后并发症少。　　结论：成熟的超声乳化人工晶状体植入术联合抗青光眼手术建立新的房水引流通道，能有效降低眼压，加深前房和快速提高视力，减少了单纯青光眼手术引起的各种并发症。