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白内障病人因青光眼而使用缩瞳药时常使视力进一步降低。乙酰胆硷抑制剂可进一步加重晶体的混浊。青光眼眼压控制良好的病例,选择单纯白内障摘除;否则先作抗青光眼手术,但这对以后的白内障手术增加了困难,且不易保留滤过泡的功能。又常促进未成熟的白内障更加混浊。这就促使了青光眼白内障联合手术的发展。小梁切除联合白内障摘除术、小梁输林氏管切除睫状体剥离联合晶体摘除术均有报告。 Jerndal对16例青光眼白内障病人作了17眼小梁切除联合白内障摘除手术。其适应症为:(1)经最大限度的药物治疗,仍有进行性的典型的青光眼性视野缺损,
Cataract patients often use visual acuity because of glaucoma. Acetylcholine inhibitors can further aggravate the opacity of the crystals. Glaucoma with good control of intraocular pressure, simple cataract extraction; otherwise anti-glaucoma surgery, but this increased the difficulty of cataract surgery, and not easy to retain the function of filtering bleb. And often to promote immature cataracts more turbid. This prompted the development of glaucoma and cataract surgery. Trabeculectomy combined with cataract extraction, trabecular translocation of ciliary body peeling combined with excision of ciliary body have been reported. Jerndal performed a total of 17 trabeculectomy combined with cataract extraction on 16 patients with glaucoma and cataract. Its indications are: (1) the maximum drug treatment, there is still a typical typical glaucoma visual field defects,