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目的探讨小切口白内障囊外摘出人工晶状体植入术联合青光眼小梁切除术的临床效果。方法对我院2000年1月至2007年1月42例(43眼)青光眼合并白内障患者行小切口白内障囊外摘出人工晶状体植入术联合青光眼小梁切除术并观察其疗效。结果术后随访3～15个月,矫正视力0.1～0.4者12眼(27.91%),0.5～0.9者24眼(55.81%),≥1.0者6眼(13.95%),<0.1者1眼(2.33%)。39眼术后眼压在正常范围,4眼加用0.5%噻吗心安滴眼液后眼控制在正常。结论小切口白内障囊外摘出人工晶状体植入术联合青光眼小梁切除术疗效好,值得推广。
Objective To investigate the clinical effect of small incision extracapsular cataract extraction with intraocular lens implantation and glaucoma trabeculectomy. Methods 42 cases (43 eyes) of glaucoma with cataract in our hospital from January 2000 to January 2007 were treated with small incision extracapsular cataract extraction and intraocular lens implantation combined with glaucoma trabeculectomy and observed its curative effect. Results There were 12 eyes (27.91%) in corrected visual acuity (0.1-0.4), 24 eyes (55.81%) in 0.5-0.9 eyes, 6 eyes (13.95%) in ≥ 1.0 eyes and 1 eyes 2.33%). 39 eyes postoperative intraocular pressure in the normal range, 4 plus 0.5% timolol eye drops control in normal. Conclusion Small incision extracapsular cataract extraction with intraocular lens implantation combined with glaucoma trabeculectomy is effective and worth promoting.