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目的 探讨糖尿病患者青光眼白内障手术时机与三联术式的选择。方法 在降糖药物突击治疗及降眼压药物应用的同时 ,选用白内障超声乳化吸出人工晶状体植入联合小梁切除术施行手术 2 8例。结果 2 8例术后眼压均控制在 2 0 5 5mmHg以下 (1mmHg =0 .13 3kPa)。视力不同程度恢复 ,≥ 0 5者占 67 8% ,≤ 0 4者占 3 2 2 %。术中术后无严重不可逆并发症。结论 对糖尿病合并青光眼白内障患者 ,尤其是药物控制眼压不理想者 ,为挽救视功能 ,选择白内障超声乳化吸出人工晶状体植入联合小梁切除术 ,具有损伤小、安全系数大的优点 ,是此类病人较理想的手术方法
Objective To investigate the timing of surgery and the choice of triple therapy in patients with glaucoma and cataract. Methods In the treatment of hypoglycemic drugs and the application of antihypertensive drugs, 28 cases underwent cataract phacoemulsification with intraocular lens implantation combined with trabeculectomy. Results 28 cases of postoperative IOP were controlled below 205 mmHg (1mmHg = 0.133kPa). Visual acuity recovered to varying degrees, ≥ 0 5 accounted for 67 8%, ≤ 0 4 32 2%. No postoperative severe irreversible complications. Conclusions For patients with diabetic mellitus complicated with glaucoma and cataract, especially for patients with intraocular pressure control, in order to save visual function, phacoemulsification and intraocular lens implantation combined with trabeculectomy have the advantages of less damage and higher safety factor, Patients with the ideal surgical methods