目的:探讨局部麻醉下行小梁切除术联合透明角膜切口白内障超声乳化吸除联合折叠人工晶状体植入术(三联术)的临床效果方法:对43例合并有白内障的患者在局部麻醉下采用分切口小梁切除术和透明角膜切口白内障原位超声乳化折叠人工晶状体植入手术,结果:术后视力>0.5者26眼(60%),0.1～0.5者17眼(40%)。43眼术后视力均较术前提高。术后1wk平均眼压15.4±3.8mmHg,较术前眼压降低10～30mmHg,与术前相比有显著性差异(P<0.01)。42眼(98%)形成功能性滤过泡。结论:分切口的青光眼小梁切除术联合透明切口白内障超声乳化折叠人工晶状体植入术可以有效地控制眼压同时提高患者的视力,效果较好,并发症少。

AIM:To investigate the therapeutic effect and method of phacoemulsification and foldable intraocular lens (IOL) implantation associated with trabeculectomy in angle-closure glaucoma with cataract.METHODS:Phacoemulsification with implantation of foldable IOL associated with trabeculectomy was per-formed on 43 patients 43 eyes with cataract and angle-closure glaucoma through a 3.2mm hyaline corneal incision and another sclera incision.RESULTS:The post-operation vision >0.5 was in 26 cases (60%),between 0.1 to 0.5 in 17 cases(40%).The vision was improved in all cases.The average intraocular pressure 1 week after operation was 15.4±3.8mmHg,which was 10-30mmHg,lower than that before operation(P<0.01).42 eyes (98%) formed functional filtering bleb.CONCLUSION:Phacoemulsification and foldable IOL implantation associated with trabeculectomy in angle-closure glaucoma with cataract offers a safe and effective method to treat cataract with angle-closure glaucoma,and have a quicker visual recovery and good effect.

R779.66