目的:比较小切口白内障囊外摘除人工晶状体植入联合小梁切除术与传统小梁切除术在治疗原发性闭角型青光眼合并白内障的临床疗效。方法:将研究对象分为两组:A组行小切口白内障囊外摘除人工晶状体植入联合小梁切除术47例52眼,B组71例86眼行小梁切除术,比较两者在术后1a眼压的控制及视力恢复情况。并作统计学分析。结果:随访术后1a眼压的控制率A组89.6%,B组73.8%,两组统计学差异显著(χ2=4.36,P<0.05),术后1a视力恢复情况A组视力平均提高0.33,B组视力平均提高0.09,两组统计学上差异显著(t=3.584,P<0.05)。结论:小切口白内障摘除人工晶状体植入联合小梁切除术比单纯小梁切除术在视力恢复及眼压控制上效果更显著。

AIM:To compare the control of intraocular pressure(IOP) and visual acuity postoperatively between combined surgery of cataract and glaucoma with small incision intraocular lens trabeculectomy and traditional trabeculetomy for primary angle-closure glaucoma.METHODS:The 118 cases 138 eyes with primary angle-closure glaucoma were divided two groups.Group A:47 cases 52 eyes underwent combined surgery of cataract and glaucoma with small incision introcular lens trabeculecto-my.Group B:71 cases 86 eyes underwent traditional trabeculetomy the postoperative control of IOP and visual acuity were compared and analyzed.RESULTS:One year after operation,IOP control rate in group A(89.6%) and group B(73.8%) had significant difference (χ2=4.36,P<0.05).One year after operation,the improvement of visual in acuity group A (0.33) and group B(0.09) had significant difference(t=3.584,P<0.05).CONCLUSION:The combined surgery of cataract and glaucoma with small incision introcular lens trabeculectomy has better effect in IOP’s control and visual acuity than traditional trabeculetomy.

R779.6