2004•Chinese Journal of Practical OphthalmologyRequires access
The phacoemulsification and intraocular lens implantation combined with trabeculectomy inside the tunnel
辛成明, Xia Liu, 凡长春
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Abstract
目的 探讨青光眼白内障联合手术的最佳方法.方法对96例青光眼合并白内障患者施行超声乳化及人工晶体植入联合隧道内小梁切除.结果术前视力＜0.1者84眼,0.1～0.3者12眼,术后视力＜0.1者26例,占27.08%,0.1～0.5者39例,占40.62%,＞0.5者31例,占32.29%.术前眼压最高60mmHg以上,最低23mmHg,术后85例眼压降至正常范围10例,术后经局部滴药后降至正常,1例出现恶性青光眼,平均眼压12.85±2.5mmHg.并发症主要是角膜水肿及虹膜炎.术后随访5～26月,15例视力下降,5例眼压再增高.结论白内障超声乳化人工晶体植入联合隧道内小梁切除术是目前治疗青光眼合并白内障的良好方法。