【摘要】 目的 评价T字活瓣式小梁切开超乳白内障摘除人工晶体植入(三联术)治疗青光眼合并白内障患者的近期和远期疗效。方法 对43例43眼青光眼合并白内障的患者进行三联术，对手术中和术后并发症及降眼压效果进行了观察，全部病例随访1年(6～18个月)。结果 近期降眼压成功率100%，术后无1例发生前房迟缓形成，并发症少，损伤小。远期眼压控制良好。结论 该术式降眼压效果满意，切口小而少，是较理想的三联术，但应用范围小，不适于急性发作期。

    关键词 T字小梁切开 青光眼 白内障 超乳 眼压

    T-form-valvular trabeculotomy，cataract emulsification extraction， and IOL insertion 3-union operation

    Xu Li，Yang Qingcai

    Dept of Ophthalmology of Shenyang Munieipal4th People’s Hospital，Shenyang110031.

    【Abstract】 Objective To determine the effect of T-form valvular trabeculotomy for primary glaucoma during phacoemulsification. Methods T-form valvular trabeculotomy and phacoemulsification with 10L implantation were performed in 43 cases(43eyes). The intraocular pressure(IOP)were decreased and complications of the post operation were observed. The duration for follow up was 6～18months(mean la). Results The rate of success in IOP of post operation was 100% in short term. The rate of control(the IOP was controlled within normal range without any anti-glaucomatous medication)reached to 93% after long term follow up. The post operation reactions was mild ......