白內障與青光眼合併手術之臨床經驗

Clinical Experience in Combined Surgery

黃書紳(Shu-Shen Huang) ； 傳堯安(Yao-An Fu)

《中華民國眼科醫學會會刊》 21卷 (1982/05) Pp. 133-136

https://doi.org/10.30048/ACTASOS.198205.0023

摘要

40例（50隻眼）接受小樑切除術合併囊內晶體摘除術。平均21.4個月的追綜時間內，視力進步者，31隻眼(62%)；眼壓控制良好者，40隻眼(80%)，其中34隻眼(68%)中，不需任何藥物即可理想地控制眼壓。合併症少，易於處理；前房蓄血及前房喪失，並不比小樑切除術多，由於它可良好地控制眼壓，促進視力進步，合併症少，且可減輕病人經濟及精神負擔，只需一次住院，一次麻醉，一次手術等諸多優點；對於青光眼與白內障同時發生的病人，合併手術實為一可行的治療方法。

並列摘要

40 patients who had glaucoma and cataract simutaneously received trabeculectomy combined with intracapsular lens extraction in a mean follow-up period of 21.4 months. The intraocular pressure was controlled in 34 eves (68%) postoperatively without medication, 6 eyes (12%) with medication, and 10 eyes (20%) were pooly controlled. Visual acuity improved in 31 eyes (62%), remaind unchanged in 12 eyes (24%), declined in 7 eyes (14%). Complications were few and not serious as compared with trabeculectomy alone. Effectiveness in control of intraccular pressure, good improvement in visual acuity, few complications, and less economic and psychic burden (one hospitalization, one anesthesia, one operation) were the advantages of the combined surgery. It was a good method to treat those who had suffered from glaucoma and cataract at one time.

並列關鍵字

Combined surgery ； cataract ； glaucoma