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目的观察不同联合手术方式治疗白内障合并青光眼的临床效果。方法选择110例青光眼合并白内障的病人,随机分为实验组60例与对照组50例,白内障超声乳化人工晶状体置入联合小梁切除术作为实验组,白内障囊外摘除和人工晶体置入联合青光眼小梁切除术作为对照组,观察2组临床效果。结果 2组5～20(9.7±4.8)个月的平均随访时间,控制眼压和恢复视力的作用相似;2组的角膜散光、手术并发症比较,实验组明显少于对照组(P<0.01)。结论青光眼合并白内障宜采用超声乳化摘除+人工晶状体置入+青光眼小梁切除的手术方式,该方法安全有效,值得临床推广应用。
Objective To observe the clinical effects of different combined surgical methods in the treatment of cataract combined with glaucoma. Methods A total of 110 patients with glaucoma and cataract were selected and randomly divided into experimental group (60 cases) and control group (50 cases). Cataract phacoemulsification combined with trabeculectomy was used as the experimental group. Extracapsular cataract extraction and intraocular lens implantation combined with glaucoma Trabeculectomy as a control group, the clinical effects observed in two groups. Results The mean follow-up time of 5-20 (9.7 ± 4.8) months in two groups was similar to that of IOP. The corneal astigmatism and operative complication in the two groups were significantly less than those in the control group (P <0.01) ). Conclusion Glaucoma with cataract should adopt phacoemulsification + intraocular lens implantation + glaucoma trabeculectomy operation method, the method is safe and effective, worthy of clinical application.