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目的 :研究白内障超声乳化、折叠型人工晶体植入术联合小梁切除术治疗青光眼合并白内障的疗效。方法 :研究组 62例、62眼行白内障超声乳化、折叠型人工晶体植入术联合小梁切除术 ;对照组 61例、61眼行白内障囊外摘除、人工晶体植入术联合小梁切除术。对 2组术后视力及并发症进行评价。结果 :术后第1天、第 1周 2组视力恢复 ,眼压控制 ,功能性过滤泡形成 ,炎症反应及术后角膜散光差异有显著性(P <0 0 5 ) ;术后 3个月 2组已无差异性 (P >0 ,0 5 )。结论 :研究组术后早期并发症少 ,视力恢复快 ,角膜散光降至最低 ,为切实可行的术式。
Objective: To study the effect of phacoemulsification and foldable intraocular lens implantation combined with trabeculectomy in the treatment of glaucoma and cataract. Methods: 62 cases of study group, 62 eyes were phacoemulsification, foldable intraocular lens implantation combined with trabeculectomy; control group of 61 cases, 61 eyes underwent extracapsular cataract extraction, intraocular lens implantation combined with trabeculectomy . Two groups of postoperative visual acuity and complications were evaluated. Results: The visual acuity recovery, intraocular pressure control, functional filter formation, inflammatory response and postoperative corneal astigmatism were significantly different between the first day and the first week postoperatively (P <0.05) There was no difference between the two groups (P> 0, 0 5). Conclusion: The study group had fewer postoperative early complications, fast visual acuity recovery and minimal corneal astigmatism, which is a feasible surgical procedure.