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目的 报告青光眼合并白内障的患眼术后眼压、视力和并发症。方法 用小梁切除联合白内障囊外摘出及人工晶状体植入术治疗 2 5眼。术后平均随访 1.2年± 0 .46年。结果 平均眼压由术前 ( 2 6.48± 4.65 )mmHg降到术后( 17.3 3± 4.5 0 )mmHg ,其中 64 %患眼眼压被控制在 2 1mmHg或以下 ;使用抗青光眼药物由术前平均 1.72种± 0 .74种降到术后 0 .64种± 0 .75种 (P <0 .0 1) ,48%的患眼不需要使用抗青光眼药物 ;视力 >0 .3占 80 %。主要并发症为短暂的前房出血和瞳孔缘破裂。结论 采用三联手术治疗能使大部分青光眼合并白内障的患眼控制眼压和获得较好视力
Objective To report the intraocular pressure, visual acuity and complications after glaucoma with cataract. Methods Trabeculectomy combined with extracapsular cataract extraction and intraocular lens implantation in 25 eyes. After an average follow-up of 1.2 years ± 0.46 years. Results The mean intraocular pressure decreased from (2.648 ± 4.65) mmHg before surgery to (17.3 3 ± 4.50) mmHg after surgery, of which 64% had intraocular pressure controlled at 21mmHg or below. The average intraocular pressure 1.72 ± 0. 74 species decreased to 0. 64 species ± 0. 75 species (P <0. 01), 48% of the affected eyes did not need anti-glaucoma medication; visual acuity> 0.3 accounted for 80%. The main complications were transient hyphema and pupil margin rupture. Conclusion The triple operation can make most glaucoma with cataract eye control intraocular pressure and obtain better vision