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目的探讨在爱尔凯因表面麻醉下行超声乳化白内障吸出折叠式人工晶状体植入联合小梁切除术治疗闭角型青光眼合并白内障的临床疗效。方法回顾性分析37例(45眼)闭角型青光眼合并白内障在0.5%爱尔凯因表面麻醉下行超声乳化白内障吸出折叠式人工晶状体植入联合小梁切除术治疗的临床资料。结果所有患者术中均能很好配合,无一例更换麻醉方法。术后随访3～24月,患眼术后视力均较术前显著提高,眼压全部降至正常范围,由术前平均(31.8±4.3)mmHg降至术后(13.1±5.2)mmHg,功能性滤过泡者42眼,占(93.3%),术中术后均未发生严重并发症。结论在爱尔凯因表麻下行超声乳化白内障吸出折叠式人工晶状体植入联合小梁切除术是治疗闭角型青光眼合并白内障的一种安全、有效、经济的方法。
Objective To investigate the clinical effect of phacoemulsification with foldable intraocular lens implantation combined with trabeculectomy under cataract with el-Caine topical anesthesia for angle-closure glaucoma with cataract. Methods The clinical data of 37 cases (45 eyes) with angle - closure glaucoma and cataract treated by foldable intraocular lens implantation and trabeculectomy with phacoemulsification under 0.5% Alkaline surface anesthesia were retrospectively analyzed. Results All patients were well matched during operation, without any change of anesthesia. The visual acuity after operation was significantly increased from 3 to 24 months after operation, and the intraocular pressure all dropped to the normal range from (31.8 ± 4.3) mmHg before operation to (13.1 ± 5.2) mmHg after operation Forty-two eyes had bleb, accounting for 93.3%. No serious complications occurred after surgery. Conclusions Phacoemulsification and foldable intraocular lens implantation combined with trabeculectomy under Alkalin anesthesia is a safe, effective and economical method for the treatment of angle-closure glaucoma with cataract.