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目的观察超声乳化联合小梁切除术治疗青光眼合并白内障的临床疗效及并发症。方法对100例(112眼)青光眼合并白内障患者进行小梁切除联合超声乳化人工晶体植入,术后测量眼压,检查视力,观察并发症。结果术后1周矫正视力为0.04～1.0,较术前提高者106眼(94.6%),其中最佳矫正视力>0.3者91眼(81.2%)。术后1周眼压1.89±0.73kPa,较术前3.26±0.65 kPa明显下降(p<0.01)。术后并发症主要是虹膜反应、角膜水肿及术后大瞳孔。结论超声乳化联合小梁切除术治疗青光眼合并白内障损伤小、视力恢复快、降低眼压、并发症少。
Objective To observe the clinical effects and complications of phacoemulsification combined with trabeculectomy in the treatment of glaucoma and cataract. Methods 100 cases (112 eyes) of glaucoma with cataract were treated with trabeculectomy combined with phacoemulsification and intraocular pressure (IOP) measurement. Visual acuity was measured and the complications were observed. Results The corrected visual acuity was 0.04-1.0 at 1 week after operation, 106 eyes (94.6%) with preoperative improvement, 91 eyes (81.2%) with best corrected visual acuity> 0.3. The intraocular pressure at 1 week after operation was 1.89 ± 0.73 kPa, which was significantly lower than 3.26 ± 0.65 kPa before operation (p <0.01). Postoperative complications mainly iris reaction, corneal edema and postoperative large pupil. Conclusion Phacoemulsification combined with trabeculectomy for glaucoma combined with cataract injury is small, rapid visual acuity, lower intraocular pressure, fewer complications.