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囊內或囊外白内障摘除合併小樑切除術的結果

Results of Intracapsular Cataract Extraction and Extracapsular Cataract Extraction with Trabeculectomy

摘要


我們在2組白內障合併青光眼的患者做小樑切除合併白內障摘除。在第一組,做小樑切除合併囊內白內障摘除於32隻眼(30位病人),平均追踪時間為14個月。在第二組,做小樑切除合併囊外白內陣摘除於31隻眼(31位病人),平均追踪時間為12.5個月。結果發現兩組的成功率沒有顯著的差異。在兩組裏,術後眼壓控制良好者皆為96.8%(即不用藥眼壓控制良好者,在第一組為87.5%,在第二組為80.6%)。但是第一組所發生的併發症卻較第二組多。在第一組最常見的併發症有:玻璃體流失(37.5%),前房出血(28%),術後短暫性眼壓升高(25%)。而在第二組的則為前房出血(19%)及後囊混濁(51.6%)。

關鍵字

無資料

並列摘要


We performed combined trabeculectomycataract extraction in 2 groups of glaucoma and cataract patients. In group 1, we performed trabeculectomy with ICCE in 32 eyes (30 patients). The average follow up period is 14 months. In group 2, we performed trabeculectomy with ECCE in 31 eyes (31 patients). The average follow up period is 12.5 months. There is no significant difference in the successful rate of both groups. In both groups, 96.8% of patients IOP well controlled with and without medicine post-operatively (i.e. Gr. 1:87.5% & Gr.: 80.6% of patients IOP controlled without medicine). But there are more complications seen in group 1 than in group 2. The most common complications in Gr. 1 are vitreous loss (37.5%), hyphema (28%), post-operative transient increase in IOP (25%) and in Gr. 2 are hyphema (19%), & posterior capsule opacity (51.6%).

並列關鍵字

combined surgery glaucoma cataract trabeculectomy

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