【摘要】 目的 探讨小梁切除联合白内障超声乳化吸出后房型人工晶体植入术，对治疗青光眼合并白内障患者的疗效。方法 采用隧道内小梁切除对34例(40眼)青光眼合并白内障患者进行三联手术，术后随访6～18个月。结果 术前平均眼压34.34mmHg，术后平均眼压15.66mmHg，P<0.05。术前视力指数至0.5，术后最终矫正视力≥0.6，26眼，占65%，≥0.2，36眼,P<0.01。术后30眼散光度数在2.0D以下，平均散光度数为0.92D。术后早期并发症为角膜水肿16眼，纤维素性渗出4眼，大部分患者有瞳孔散大、不规则移位、对光反射减弱。在随访期间内后发障3眼。结论 小梁切除联合白内障超声乳化吸除、后房型人工晶体植入术治疗青光眼合并白内障，能有效控制眼压，迅速恢复视力，是一种安全、有效、经济的手术方法。

    【关键词】 青光眼；白内障；超声乳化；小梁切除

    A clinical study of trabeculectomy combined with phacoemulsification for the treatment of glaucoma patients complicated by cataract

    WANG Shu-xia,ZHI Hong-feng,WANG Dan,et al.

    Department of Ophthalmology, People's Hospital in Jilin Province, Changchun 130021, China

    【Abstract】 Objective To investigate the effects of trabeculectomy combined with phacoemulsification and post-chamber intraocular lenses implantation for the treatment of patients with glaucoma and cataract. Methods Triple procedure was performed through a tunnel incision on 40 eyes of 34 patients with glaucoma and cataract, inside that incision trabeculectomy was finished, the follow-up time was 6～18 months. Results Mean intraocular pressure was 34.34mmHg before operations comparing with postoperative IOP 15.66mmHg, there was statistical difference (P<0.05). Preoperative visual acuities ranged from fingers to 0.5, but 26 eyes (65%) had the best corrected visual acuities≥0.6 and 36 eyes(90%) was ≥0.2.Also, there was significantively statistical difference (P<0.01). Operatively, the degree of astigmatism below 2.0D appeared in 30 eyes (mean 0.92D). As early sequelae after operations, 16 eyes had corneal edema, 4 eyes had fibrous effusion, the majority of which had enlargement, shift and light-response slowness of pupil. In addition, developed after cataract were found in 3 eyes in the long-term observation.Conclusion Trabeculectomy combined with phacoemulsification and post-chamber intraocular lenses implantation is a safe, effective and economical surgery for the treatment of patients with glaucoma and cataract, and it can reduce intraocular pressure and improve visual acuity rapidly. ......