目的:探讨3种方法治疗白内障合并青光眼的临床对比。方法:对96例96眼白内障合并青光眼患者平分为3组,A组患者采用白内障超声乳化吸出+人工晶状体植入术,B组患者采用白内障超声乳化吸出+人工晶状体植入联合小梁切除手术,C组患者采用复合式小梁切除手术。结果:A组、B组的眼压下降幅度明显高于C组(P<0.05),B组眼压下降幅度高于A组,但是无统计学差异(P>0.05)。A组与B组的视力好转情况明显好于C组(P<0.05)。A组、B组的前房深度加深幅度明显高于C组(P<0.05),B组前房深度加深幅度高于A组,但是无统计学差异(P>0.05)。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能够显著地加深前房,开放房角,有效地降低眼压,提高患者视功能,是治疗白内障合并青光眼患者的一种安全有效的手术方法。

AIM:To evaluate the clinical comparative observation of three methods for treating cataract complicated with glaucoma.METHODS:Ninety-six cases (96 eyes) with cataract complicated with glaucoma were equally divided into three groups,A group were treated by the cataract phacoemulsification and intraocular lens implantation.B group were treated by the cataract phacoemulsification,intraocular lens implantation combined with trabeculectomy.C group were treated by the combined trabeculectomy surgery.RESULTS:The intraocular pressure (IOP) decrease of A group and B group was significantly higher than that of C group (P<0.05).The IOP decrease of B group was the best,but had no significant difference (P>0.05) compared to the A group.The visual acuity of A group and B group was obviously better than C group (P<0.05).The deepening amplitude of anterior chamber depth of A,B group was significantly higher than that of C group (P<0.05).The deepening amplitude of anterior chamber depth of B group was higher than that of A group,but had no significant difference (P>0.05).CONCLUSION:The phacoemulsification,intraocular lens implantation combined with trabeculectomy can significantly deepen the anterior chamber,open chamber angle,and effectively decrease IOP and improve visual function,which is a safe and effective surgical method for treating cataract complicated with glaucoma.

R779.6