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[目的]观察青光眼、白内障联合手术的疗效及对青光眼视野检测结果的影响。[方法]对42例青光眼合并白内障患者,在上方鼻侧角膜缘切口行小梁切除术。颞侧行小切口摘除白内障,植入后房型人工晶体。Humphrey-740型自动视野计观察和比较原发性青光眼患者手术前后视野结果。[结果]术后42只眼前房形成及眼压控制较好,出现轻微并发症,但经药物治疗均得到很好控制,术后视力≥0.5者16只眼,0.3～0.4者18只眼,0.1～0.2者6只眼,﹤0.1者2只眼。半年后复查,大部分视力有不同程度的提高。术前与术后平均MD、ASI比较,差异均有统计学意义(P﹤0.05);术前与术后平均PSD比较,差异无统计学意义(P﹥0.05)。术前ASI与MD具有相关性,术后ASI与MD也具有相关性,而且术后与术前ASI与MD的变化亦具有相关性。[结论]对青光眼、白内障患者施行联合手术,可有效控制眼压,改善视力、降低手术并发症。青光眼视野检测的ASI与MD具有相关性。
[Objective] To observe the curative effect of glaucoma and cataract surgery and its effect on glaucoma visual field test results. [Method] Forty-two patients with glaucoma and cataract were treated with trabeculectomy at the nasal limbal incision. A small incision in the temporal cataract extraction and posterior chamber intraocular lens implantation. Humphrey-740 autostapescope observation and comparison of primary glaucoma patients before and after surgery results. [Result] The anterior chamber formation and intraocular pressure were well controlled in 42 eyes, slight complication occurred, but the drug treatment was well controlled. The postoperative visual acuity was ≥ 0.5 in 16 eyes, 0.3-0.4 in 18 eyes, 0.1 ~ 0.2 in 6 eyes, <0.1 in 2 eyes. Six months after the review, most of the visual acuity improved in varying degrees. There was significant difference between preoperative and postoperative mean MD and ASI (P <0.05). The preoperative and postoperative average PSD had no statistical significance (P> 0.05). Preoperative ASI and MD have correlation, postoperative ASI and MD are also related, and postoperative and preoperative ASI and MD changes are also related. [Conclusion] The combined surgery of glaucoma and cataract patients can effectively control intraocular pressure, improve visual acuity and reduce surgical complications. ASI was associated with MD in glaucomatous field detection.