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目的:探讨白内障超声乳化吸除术联合Ahmed青光眼引流阀植入治疗合并白内障的难治性青光眼的疗效。方法:对20例合并白内障的难治性青光眼患者行白内障超声乳化吸除术联合Ahmed青光眼引流阀植入术,术后观察眼压、视力、角膜水肿程度及并发症,随访6个月。结果:20例合并白内障的难治性青光眼中,包括硅油取出术后高眼压(8例),多次滤过手术眼压仍不能控制者(4例),晚期先天性青光眼(3例),葡萄膜炎继发青光眼(5例)。患者术后眼压完全控制15只眼,部分控制2只眼,眼压失控3只眼。手术成功率为85%。结论:白内障超声乳化吸除术联合Ahmed青光眼引流阀植入治疗合并白内障的难治性青光眼是安全的、有效的。
Objective: To investigate the efficacy of cataract phacoemulsification combined with Ahmed glaucoma drainage valve implantation in the treatment of refractory glaucoma with cataract. Methods: Twenty patients with refractory glaucoma with cataract were treated with cataract phacoemulsification combined with Ahmed glaucoma drainage. The intraocular pressure, visual acuity, degree of corneal edema and complications were observed and followed up for 6 months. Results: Among 20 refractory glaucoma cases with cataract, intraocular pressure (8 cases) after silicone oil removal, intraocular pressure (4 cases), multifocal glaucoma (3 cases) , Uveitis secondary glaucoma (5 cases). Intraocular pressure in patients with complete control of 15 eyes, partial control of 2 eyes, loss of intraocular pressure in 3 eyes. Surgical success rate was 85%. Conclusions: Cataract phacoemulsification combined with Ahmed glaucoma drainage valve implantation is safe and effective in the treatment of refractory glaucoma with cataract.