目的:探讨青光眼合并白内障患者进行综合因素处理的临床效果。方法:对65例79眼青光眼合并白内障患者进行耐心的心理疏导和认真的术前准备后于表面麻醉下行小切口手法碎核白内障摘除、人工晶状体植入术联合小梁切除术,观察麻醉效果、眼压、术后视力,角膜内皮细胞等情况。结果:有97.5%患者对麻醉效果满意。术后视力均有所提高。眼压控制良好。术后角膜内皮细胞平均丢失率6.9%。结论:对青光眼合并白内障患者选择表面麻醉下小切口手法碎核白内障摘除、人工晶状体植入术联合小梁切除术是安全、有效的,可以提高患者的生活质量。

AIM:To investigate the effects of comprehensive perioperative treatment on patients with both glaucoma and cataract.·METHODS:Small-incision manual nuclear fragmentation cataract extraction with implantation of posterior chamber intraocular lens (IOL) combined with trabeculectomy was performed on 79 eyes of 65 cases under topical anesthesia.The anesthesia effect was evaluated.The data of the postoperative vision,the intraocular pressure(IOP) and the count of the corneal endothelial cells were analyzed.·RESULTS:There were 97.5% patients satisfied with the anesthesia effect.All patients got improved vision and had steady IOP.The average loss of the count of corneal endothelial cells was 6.9%.·CONCLUSION:It was effective and safe to perform small-incision manual nuclear fragmentation cataract extraction with implantation of posterior chamber IOL combined with trabeculectomy on patients with both glaucoma and cataract under topical anesthesia.

R779.6