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目的探讨表面麻醉下双切口超声乳化白内障吸除折叠式人工晶体植入联合青光眼小梁切除术治疗青光眼并发白内障的疗效。方法回顾性分析26例进行表面麻醉下双切口超声乳化白内障吸除折叠式人工晶体植入联合青光眼小梁切除术治疗的慢性闭角型青光眼并发白内障的患者的临床资料。结果所有患者均能在表麻下接受手术治疗,术后随访6个月,患者术后较术前平均视力显著提高(P<0.001),眼压由术前平均(30.6±5.3)mmHg降至术后(14.2±4.1)mmHg(P<0.001),功能性滤过泡者24例,占92.3%,术中术后均无严重并发症。结论表面麻醉下双切口超声乳化白内障吸除折叠式人工晶体植入联合青光眼小梁切除术是治疗青光眼合并白内障的一种安全、有效、经济的方法。
Objective To investigate the efficacy of double incision phacoemulsification with foldable intraocular lens implantation combined with glaucoma trabeculectomy in the treatment of glaucoma complicated with cataract under surface anesthesia. Methods The clinical data of 26 patients with chronic angle-closure glaucoma complicated with cataract treated with double-incision phacoemulsification and foldable intraocular lens implantation combined with glaucoma trabeculectomy under surface anesthesia were retrospectively analyzed. Results All patients underwent surgical treatment under ephedrine anesthesia. The patients were followed up for 6 months. The average postoperative visual acuity was significantly increased (P <0.001) and the intraocular pressure was decreased from (30.6 ± 5.3) mmHg to Postoperative (14.2 ± 4.1) mmHg (P <0.001), functional filter bleb in 24 cases, accounting for 92.3%, no serious postoperative complications. Conclusions Double incision phacoemulsification with foldable intraocular lens implantation combined with glaucoma trabeculectomy under surface anesthesia is a safe, effective and economical method for the treatment of glaucoma combined with cataract.