两种白内障摘除术联合人工晶体植入术和小梁切除术治疗白内障合并青光眼的疗效比较

Comparison in effect of two cataract extirpations combined with intraocular lensimplantation and trabeculectomy in the treatment of cataract complicated with glaucomatous

摘要: 目的比较两种白内障摘除术联合人工晶体植入术和小梁切除术治疗白内障合并青光眼的临床疗效.方法将82例青光眼患者随机分为对照组和实验组.对照组给予小切口白内障摘除术、人工晶体植入联合小梁切除术,实验组给予超声乳化白内障吸出术、人工晶体植入联合小梁切除术.比较2组术后眼压、视力、散光度数变化及浅前房发生率、功能性滤过泡形成率等指标.结果术后实验组患者的眼压降低、视力改善较对照组更为显著(P＜0.05);术后6个月,对照组患者散光度数增高,而实验组无显著变化,2组散光度有显著差异(P＜0.05).2组患者术后浅前房发生率及功能性滤过泡形成率无明显差异(P＞0.05).结论两种白内障摘除术联合人工晶体植入术和小梁切除术治疗白内障合并青光眼的疗效肯定,但采用超声乳化白内障吸出术效果更佳.