Clinical observation of combined surgery of cataract and glaucom a with small incision in traocularlen s miplantation and trabeculectom
10.3969/j.issn.1671-8348.2014.13.016
- VernacularTitle:小切口白内障青光眼联合手术临床观察
- Author:
Yuqin LIANG
;
Haotian XIANG
- Publication Type:Journal Article
- Keywords:
cataract;
glaucoma;
combined surgery
- From:
Chongqing Medicine
2014;(13):1576-1578
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore non-phacoemulsification small incision extracapsular cataract extraction,the capsular bag IOL implantation and trabeculectomy(hereinafter referred to as plainer combined surgery)treatment of glaucoma and cataract surgical method and clinical efficacy.Methods Operated to 45 patients with 47 white combined glaucoma and cataract combined surgery,in-traoperative visual acuity,intraocular pressure,bleb,and postoperative complications,followed postoperative up for 3 months to 24 months.Results The preoperative and postoperative visual acuity and intraocular pressure difference was statistically significant (P<0.05),compared with preoperative visual acuity improved to varying degrees,<0.02°,5 eyes,accounting for 10.64%;0.02°-0.60°30 eyes,accounting for 63.83%;> 0.60°12 eyes,accounting for 25.53%;IOP control in the normal range by 39,accounting for 83.00%;8 postoperative IOP at 26 mm Hg or so.40 eyes(85.00%)to form a flat diffuse functional filtration.Where type blebⅠ 18,type blebⅡ 32.Complications:transient corneal edema 12,early shallow anterior chamber 4,hyphema 3,holding an intraocu-lar lens.No serious intraoperative and postoperative complications.Conclusion The surgical treatment of glaucoma and cataracts can control intraocular pressure effectively and restore useful vision with fewer complications,simple,safe,less investment,low cost,suitable by using in primary hospital.
