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目的 探讨青光眼滤过术后失败的青光眼白内障患者施行超声乳化折叠人工晶体植入联合小梁切除术的安全性和手术效果。 方法 对 32例 (32眼 )青光眼术后失败的患者经颞上方巩膜隧道切口行超声乳化吸除 ,作 1.5～ 2 .0 mm小梁切除术 ,对术后视力、眼压进行 6个月～ 2年的随访。 结果 术后 6个月 2 1眼视力在 0 .5以上 (6 6 % ) ,6眼视力达 0 .1～ 0 .4(18% ) ,术后眼压保持在12 .2 3～ 2 0 .5 5 mm Hg的 2 7眼 (84.3% )。 结论 超声乳化白内障吸除折叠人工晶体植入联合小梁切除术治疗青光眼滤过术后失败的青光眼白内障是一种有效、安全的手术方法。
Objective To investigate the safety and operative effect of phacoemulsification and foldable intraocular lens implantation combined with trabeculectomy in patients with glaucoma and cataract after glaucoma filtration failure. Methods Thirty-two patients (32 eyes) with postoperative glaucoma failed to undergo phacoemulsification by trans-temporal scleral tunnel incision were treated with 1.5-2.0 mm trabeculectomy. The postoperative visual acuity and intraocular pressure (IOP) 2 years of follow-up. Results Six months after operation, the visual acuity of 21 eyes was above 0.5 (6.6%) and the visual acuity of 6 eyes was from 0.1 to 0.4 (18%). The intraocular pressure remained at 12.23 ~ 20 27 eyes (84.3%) of 5 mm Hg. Conclusion Phacoemulsification and foldable intraocular lens implantation combined with trabeculectomy in the treatment of glaucomatous cataract after glaucoma filtration surgery is an effective and safe surgical method.