国际眼科杂志Issue(12)：2437-2439,3.DOI:10.3980/j.issn.1672-5123.2013.12.21
小切口白内障摘除联合小梁切除术治疗开角型青光眼合并白内障
Trabeculectomy combined with small incision extracapsular cataract extraction and intraocular lens implantation for primary open angle glaucoma coexisting with cataract
夏云开 1谭荣强 1徐黛丽 1吴林彬 1李宝娣1
作者信息
- 1. 526000 中国广东省肇庆市第一人民医院眼科
- 折叠
摘要
Abstract
AIM: To study the clinical effectiveness of trabeculectomy combined with small incision extracapsular cataract extraction and intraocular lens ( IOL ) implantation for the treatment of primary open angle glaucoma coexisting with cataract. <br> METHODS:A total of 34 eyes of 34 patients with primary open angle glaucoma and cataract had trabeculectomy combined with small incision extracapsular cataract extraction and intraocular lens implantation from January 2011 to January 2013. The postoperative visual acuity, intraocular pressure ( IOP ) , filtering bleb and complications were observed. <br> RESULTS: The follow up duration was 6-24 months. The best corrected visual acuity ( BCVA) was 0.1~<0.3 in 4 eyes ( 12%) and 0.3 ~1.0 in 30 eyes ( 88%).The postoperative IOP was 14.7 ±0.8mmHg at postoperative month 6.The functional filtering blebs were presented in 34 eyes in the first week and 28 eyes after 6 weeks, the filtering blebs were not obvious in 4 eyes, and encapsulated filtering blebs were presented in 2 eyes. Postoperative complications included corneal edema in 12 eyes (35%), fibrous exudates in 5 eyes (15%), shallow anterior chamber in 6 eyes ( 18%) and after cataract in 6 eyes (18%). <br> CONCLUSION: Trabeculectomy combined with small incision extracapsular cataract extraction and IOL implantation are effective as an initial surgical treatment for open angle glaucoma patients coexisting with cataract.关键词
白内障囊外摘除/小切口/人工晶状体/开角型青光眼/小梁切除术Key words
extracapsular cataract extraction/small incision/intraocular lens/open angle glaucoma/trabe-culectomy引用本文复制引用
夏云开,谭荣强,徐黛丽,吴林彬,李宝娣..小切口白内障摘除联合小梁切除术治疗开角型青光眼合并白内障[J].国际眼科杂志,2013,(12):2437-2439,3.
