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目的观察在白内障青光眼患者治疗过程中应用小切口白内障手术联合隧道内小梁切除术治疗的临床效果。方法 60例(66眼)白内障青光眼患者,均给予小切口白内障手术联合隧道内小梁切除术治疗,观察临床治疗效果。结果随访6个月,术后视力<0.05的眼数8眼(12.12%),术后视力在0.05~0.3的眼数10眼(15.15%),术后视力在0.3~0.5的眼数38眼(57.58%),术后视力>0.05的眼数10眼(15.15%)。其中,术后视力存在不同程度提高的患眼为58眼(87.88%),视力不提高8眼(12.12%)。66眼术前眼压为(36.38±6.66)mm Hg(1 mm Hg=0.133 kPa),术后1周眼压为(17.59±6.10)mm Hg,术后1个月眼压为(16.92±4.55)mm Hg,术后3个月眼压为(15.98±3.85)mm Hg,术后6个月眼压为(16.22±3.88)mm Hg,患者术后各个观察时间点的眼压均低于术前,差异均具有统计学意义(t=16.9023、19.6004、21.5438、21.2487,P<0.05)。结论在白内障青光眼患者治疗过程中应用小切口白内障手术联合隧道内小梁切除术治疗的临床疗效较为显著,可在临床推广应用。
Objective To observe the clinical effect of small incision cataract surgery combined with tunnel trabeculectomy in the treatment of cataract glaucoma patients. Methods 60 cases (66 eyes) of cataract glaucoma patients were given small incision cataract surgery combined with tunnel trabeculectomy, to observe the clinical effect. Results The patients were followed up for 6 months. There were 8 eyes (12.12%) with postoperative visual acuity <0.05, 10 eyes (15.15%) with postoperative visual acuity of 0.05 ~ 0.3, 38 eyes with postoperative visual acuity of 0.3 ~ 0.5 (57.58%) and postoperative visual acuity> 0.05 (10 eyes, 15.15%). Among them, there were 58 eyes (87.88%) and 8 eyes (12.12%) with increased visual acuity. The intraocular pressure (IOP) in 66 eyes was (36.38 ± 6.66) mm Hg (1 mm Hg = 0.133 kPa) and the intraocular pressure was (17.59 ± 6.10) mm Hg one week after operation. The intraocular pressure was 16.92 ± 4.55 ) mm Hg, the intraocular pressure was (15.98 ± 3.85) mm Hg at 3 months after operation and the intraocular pressure was (16.22 ± 3.88) mm Hg at 6 months after operation. The intraocular pressure Before and after, the differences were statistically significant (t = 16.9023, 19.6004, 21.5438, 21.2487, P <0.05). Conclusion The clinical effect of small incision cataract surgery combined with tunnel trabeculectomy in the treatment of cataract glaucoma patients is more significant, which can be widely applied in clinic.