解放军医学院学报2017，Vol.38Issue(8)：724-726,3.DOI:10.3969/j.issn.2095-5227.2017.08.004
开角型青光眼合并白内障患者不同手术方式治疗效果比较
Comparison of clinical outcomes of different surgical methods in treatment of open-angle glaucoma complicated with cataract
摘要
Abstract
Objective To study the clinical outcomes of different surgical methods in treatment of open-angle glaucoma complicated with cataract.Methods Seventy-eight cases with open-angle glaucoma complicated with cataract were enrolled in this study in the first Affiliated Hospital of Harbin Medical University from January 2014 to May 2015.The patients were randomly divided into two groups:group A (39 cases,40 eyes) and group B (39 cases,40 eyes).Patients in group A underwent phacoemulsification with intraocular lens implantation and trabeculectomy,while group B underwent small incision cataract extraction with intraocular lens implantation and trabeculectomy.The visual acuity,intraocular pressure at 1 week and 1 month after surgery,and the incidence of operative complications within 1 month after surgery were compared between the two groups.Results The incidence of postoperative anterior chamber inflammation was significantly lower in group A than that of group B (10.0％ vs 22.5％,P ＜ 0.05),while the incidence of other complications was similar in the two groups (P ＞ 0.05).The postoperative visual acuity and intraocular pressure at 1 week and 1 month after surgery improved significantly after surgery in both two groups.But there was no significant difference in postoperative visual acuity and intraocular pressure levels between two groups (P ＞ 0.05).Conclusion Both the two surgery methods can effectively improve postoperative visual acuity and ocular pressure in patients with open-angle glaucoma and cataract.But,there are less complications in patients undergoing phacoemulsification with intraocular lens implantation and trabeculectomy.关键词
开角型青光眼/白内障/超声乳化/小梁切除术Key words
open-angle glaucoma/cataract/phacoemulsification/trabeculectomy分类
医药卫生引用本文复制引用
冷非,白大勇,梁天蔚,胡守龙,赵军阳,刘平,李莉..开角型青光眼合并白内障患者不同手术方式治疗效果比较[J].解放军医学院学报,2017,38(8):724-726,3.基金项目
北京市属医院科研培育计划项目(BCHYIPA-2016-03)Supported by the Scientific and Research Cultivation Project of Beijing Municipal Hospital(BCHYIPA-2016-03) （BCHYIPA-2016-03）
