目的:评价白内障超声乳化联合小梁切除术治疗青光眼合并白内障的临床疗效。方法:回顾36例青光眼合并白内障患者行白内障超声乳化吸除人工晶状体植入联合小梁切除术,对术后视力、眼压及前房情况进行总结。结果:术后视力提高者占72.2%(26/36),术后随访末期眼压<21mmHg者占86.1%(31/36),功能性滤过泡占91.7%(33/36),术后并发症少。结论:超声乳化白内障吸除人工晶状体植入联合小梁切除术不但视力恢复好,而且青光眼术后并发症减轻,有利于眼压控制。

AIM:To evaluate the clinical efficacy of the phacoemulsification and trabeculectomy for glaucoma combined with cataract.METHODS:The postoperative vision,intraocular pressure(IOP) and anterior chamber were retrospectively summarized in 36 cases with glaucoma combined with cataract after the phacoemulsification and trabeculectomy.RESULTS:The visual acuity postoperatively was improved in 26 cases(72.2%),the IOP postoperatively was under 21mmHg in 31 cases(86.1%),the rate of functional filtering blebs was 91.7%(33/36),there was few complication after phacoemulsification and trabeculectomy for glaucoma combined with cataract.CONCLUSION:Phacoemulsification and trabeculectomy with better visual recovery and fewer complications is an effective method of surgical treatment for glaucoma combined with cataract.

R779.6