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目的探讨改良小梁切除联合白内障超声乳化及人工晶体植入术(三联手术),对治疗青光眼合并白内障患者的效果。方法应用三联术对37例46眼青光眼合并白内障患者进行手术治疗,术后随访3～24个月。结果术前平均眼压(28.01±13.87)mmHg,术后随访最终平均眼压降至(15.32±2.30)mmHg(P<0.01),术后随访最终矫正视力范围0.05～1.0,其中≥0.5者36眼(占78.26%)。结论改良小梁切除联合超声乳化及人工晶体植入术治疗青光眼合并白内障患者,具有恢复视力、稳定眼压、减少术后并发症等效果。
Objective To investigate the effect of modified trabeculectomy combined with cataract phacoemulsification and intraocular lens implantation (triple surgery) on the treatment of glaucoma patients with cataract. Methods Thirty-seven patients (46 eyes) with glaucoma and cataract were treated by surgery. The patients were followed up for 3-24 months. Results The average preoperative intraocular pressure (IOP) was (28.01 ± 13.87) mmHg. The mean IOP decreased to (15.32 ± 2.30) mmHg after operation (P <0.01). The corrected visual acuity ranged from 0.05 to 1.0 Eye (78.26%). Conclusion Modified trabeculectomy combined with phacoemulsification and intraocular lens implantation in patients with glaucoma and cataract has the effects of restoring visual acuity, stabilizing intraocular pressure and reducing postoperative complications.