青光眼术后白内障超声乳化及人工晶体植入术

Cataract extraction and phacoemulsification with intraocular lens inplantation in patients after glaucoma surgery

关键词:  青光眼术后  白内障  超声乳化  人工晶体

Key words:  after glaucoma surgery  cataract  phacoemulsification  intraocular lens

摘要:

对29例(36只眼)青光眼术后白内障患者在白内障超声乳化及人工晶体植入术后平均随诊7.3个月(2～30个月),97.22%的患者术后矫正视力达0.1以上,术后眼压均维持正常,术后并发症包括人工晶体前膜形成(16.7%),晶体后囊混浊(8.33%)和前房出血(2.78%).提出术中避开滤泡在颞上方或鼻上方手术切口及手术医师的操作技巧和仔细选择好病例对手术效果十分重要.

Abstract:

Twenty nine patients(thirty six eyes)were performed by the phacoemulsification with posterior chamber intraocular lens implantation after glaucoma surgery. After a mean follow-up period of 7.3 months(range 2 to 30 months), the corrected visual acuity in 97.22% of the patients reached to 0.1 or better.All eyes have normal IOP. Postoperative complication included hyphema(2.78%) and posterior capsule opacification(8.33%). The results suggest that careful selection of cadidates,the operators, technology and incision for IOL implantation be cracial for successful cataract surgery in glaucoma patients.