【摘要】  目的：观察超声乳化联合小梁切除治疗青光眼合并白内障的疗效。方法：采用上方巩膜瓣隧道切口对26例（28眼）青光眼合并白内障患者行三联手术。结果：术后随访3mo~1a，28眼术后视力均有不同程度提高，术后滤过泡分类：Ⅰ，Ⅱ型功能滤过泡占 88% ，Ⅲ型滤过泡占 15%。术后前房反应，大多数前房炎性反应轻微，前房有不同程度加深，但有6眼有纤维渗出及出血，经治疗吸收。结论：超声乳化联合小梁切除手术可有效治疗青光眼合并白内障患者。

【关键词】  超声乳化白内障吸除术；小梁切除术；青光眼；白内障；人工晶状体

    Phacoemulsfication combined with trab-eculectomy in treating glaucoma comp-licated with cataract

    Zuo-Ren Zhang, Yu-Hong Gu, Li-Qun Wei

    Department of Ophthalmology, the Affiliated Changshu Hospital of Suzhou University, Changshu 215500, Jiangsu Province, China

     AbstractAIM: To evaluate the effect of phacoemulsfication combined with trabeculectomy in the treatment of glaucoma complicated with cataract. METHODS: Triple operation was performed through the upper sclera tunnel incision on 28 eyes of 26 cases with glaucoma complicated with cataract. RESULTS: During the follow-up of 3 month to 1 year, the 28 eyes showed various improvement in vision. As for thepost-operative filtering bleb, type I and II functional filtering bleb accounted for 88% and type III filtering bleb 15%. Most of the operated eyes showed mild inflammation in their front chamber with deepened front chamber, except six eyes with fibrous exudates and hyphema disappearing after treatment. CONCLUSION: Phacoemulsfication combined with trabe- culectomy is effective in treating glaucoma complicated with cataract.

    KEYWORDS: phacoemulsfication; trabeculectomy; glaucoma; cataract; intraocular lens

    0引言

    青光眼白内障联合术牵涉到一个相当复杂的问题，目前对青光眼联合白内障摘除＋人工晶状体植入有争议[1]。随着微创的超声乳化白内障吸除术的普及，联合术有了更大的发展，超声乳化联合青光眼滤过手术，使本应分期进行的手术巧妙地组合在一起，它不仅提高视力，控制眼内压力，而且把两种手术切口放在同一部位，手术切口小恢复快，减少了眼组织的损伤，术后并发症也相应减少，2002-02/2006-04我们收治了资料完整的青光眼合并白内障患者26例(28眼)，采用巩角膜隧道切口白内障超声乳化吸除+人工晶状体植入联合小梁切除，得到满意的临床效果，现报告如下。

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