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目的探讨白内障超声乳化、人工晶体植入联合小梁切除术的临床疗效。方法对2006年3月至2007年6月期间我科20例20眼青光眼合并白内障的患者行超声乳化人工晶体植入联合小梁切除术。结果术后视力均有不同程度的提高,20眼眼压经治疗后均正常,滤过泡隆起,并发症角膜水肿、人工晶体前纤维性渗出膜经药物治疗3~10 d后吸收。结论超声乳化人工晶体植入联合小梁切除术安全有效,值得临床推广。
Objective To investigate the clinical effects of phacoemulsification and intraocular lens implantation combined with trabeculectomy. Methods From March 2006 to June 2007, 20 patients with glaucoma and 20 eyes with cataract in our department underwent phacoemulsification and intraocular lens implantation combined with trabeculectomy. Results Postoperative visual acuity was improved to varying degrees. The intraocular pressure of 20 eyes were all normal after treatment. The filtration bubble bulging and corneal edema were complicated. The anterior lens fibrinous exudative membrane was absorbed 3 to 10 days after drug treatment. Conclusion Phacoemulsification and intraocular lens implantation combined with trabeculectomy is safe and effective, which is worthy of clinical promotion.