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頁籤選單縮合
題名 | Surgical Outcome of Combined Phacoemulsification and Trabeculectomy=超音波晶體乳化術合併小樑切除術之手術結果 |
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作者 | 吳為吉; 吳秀琛; 林淑梅; Wu, Wei-chi; Wu, Shiu-chen; Lin, Shu-mei; |
期刊 | 長庚醫學 |
出版日期 | 19991200 |
卷期 | 22:4 1999.12[民88.12] |
頁次 | 頁572-578 |
分類號 | 416.744 |
語文 | eng |
關鍵詞 | 超音波晶體乳化術; 小樑切除術; 青光眼; 白內障; Phacoemulsification; Trabeculectomy; Glaucoma; Cataract; |
中文摘要 | 背景:在近年的研究中超音波晶體乳化術合併小樑切除術對合併有白內障及青光 眼的病人獲得優異的成果。合併手術不但減少病人手術次數,而且因為超音波晶體乳化術的 傷口較小,故較小的術後發炎反應及較少的手術引致散光使術後視力的恢復較迅速。同時因 為結膜組織剝離的範圍較小,故能提高青光眼過濾手術成功率。 方法:本回溯研究包括20眼(19位病人)施行超者波晶體乳化術合併小樑切除術。其中15眼 是慢性隅角閉鎖性青光眼合併白內障,5眼是隅角開放性青光眼合併白內障,所有的病人至 少追蹤6個月。術前平均眼壓為17.3±4.5mmHg,平均使用2.3種青光眼藥物。 結果:術後除l位病人外其餘病人皆不需藥物控制眼壓。術後l個月及最後追蹤平均眼壓分 別是10.7±3.7mmHg及13.7士4.3mmHg。術後較術前視力進步的病人有16眼(80%),其餘病 人視力與術前相同。視力無進步的原因為視神徑廣泛之萎縮。手術引起之散光平均為O.98± O.91diopter(向量分析)。術後有10眼(50%)有不等程度的前房滲出物,但治療後都能復原。 l例有暫時性的眼壓低下併脈胳膜剝離,但不久即自行恢復。 結論:超音波晶體乳化術合併小樑切除術乃是一安全有效之療法,對同時有青光眼及白內障 的病人可獲得良好的視力恢後及眼壓控制。 |
英文摘要 | Background: A retrospective study was undertaken to evaluate the results of phacoemulsification, intraocular lens implantation, and trabeculectomy in patients with cataracts coexisting with glaucoma. Methods: This study consisted of 29 eyes from 19 patients. Fifteen eyes had chronic angle-closure glaucoma and 5 eyes had primary open-angle glaucoma. All cases were followed for a minimum of 6 months (range, 6 to 16 months). The mean preoperative intraocular pressure (TOP) was 17.3 ±4.5 mmHg. The mean preoperative visual acuity was 0.05 ±0.19. The mean number of preoperative antiglaucoma medications per patient was 2.3. Results: Postoperatively, all patients except for one no longer required antiglaucoma medication. The mean TOP was 10.7 ±3.7 mmHg one month postoperatively and 13.7 ±4.3 mmHg at the final follow-up visit. Vision improved in 80% of the patients and remained unchanged in 20%. The failure to achieve improvement was due to advanced optic atrophy. The mean level of surgically induced astigmatism at the final visit was 0.98 ±0.91 diopters as calculated by vector analysis. Various extents of fibrin exudates was found in 10 eyes (50%). The most serious postoperative complication, occurring in one eye (5%), was temporary hypotony with moderate choroidal effusion, which later resolved spontaneously. Conclusion: Combined phacoemulsification and trabeculectomy is an effective and safe approach for obtaining good visual rehabilitation and glaucoma control. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。