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目的评价无缝线的小梁切除,超声乳化白内障吸出及人工晶状体植入三联手术。方法做巩膜隧道切口及板层巩膜瓣,连续环形撕囊,原位超声乳化碎核并植入人工晶状体,最后行小梁切除。结果38眼术后3月眼压低于16mmHg(1mmHg=0.133kPa)者33眼(86.84%);随访3~18月,滤过泡弥散者34眼(89.47%),视力≥0.5者34眼(89.47%)。结论该手术具有眼压控制好,无需缝线,滤泡形成佳,能获得良好的视力。
Objective To evaluate the effect of sutureless trabeculectomy, phacoemulsification cataract extraction and intraocular lens implantation. Methods Scleral tunnel incision and lamellar scleral flap, continuous circular capsulorhexis, in situ phacoemulsification and implantation of intraocular lens, and finally trabeculectomy. Results Thirty-three eyes (86.84%) had intraocular pressure less than 16mmHg (1mmHg = 0.133kPa) at 38 months after operation. Among them, 34 eyes (89.47%) were followed up from 3 to 18 months. 0.5 of 34 eyes (89.47%). Conclusion The operation has good control of intraocular pressure, without suture, good follicular formation, can get good vision.