颞侧角膜缘3．2mm切口超声乳化吸除术治疗抗青光眼术后白内障的临床观察  

3.2mm temporal corneal incision phacoemulsification in the treatment of cataract after glaucoma surgery in clinical observation

作　　者：杨菊珊[1] 申广妍[1] 

机构地区：[1]焦煤集团中央医院眼科,河南焦作454000

出　　处：《中国实用眼科杂志》2012年第7期861-863,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨抗青光眼术后白内障的治疗方法和疗效。方法回顾性分析2005年1月至2008年12月，在治疗的抗青光眼术后白内障患者40例48只眼，采用颞侧角膜缘隧道式3．2mm切口，行超声乳化白内障联合折叠人工晶状体植入术，随访3个月-2年，观察患者术后疗效及并发症。结果术后视力较术前明显提高；术后一过性眼压升高5只眼，最高眼压为28．10mmHg，功能性滤过泡未见明显缩小及瘢痕化，术中后囊破裂2只眼，虹膜咬伤1只眼，术后角膜水肿14只眼，10只眼出现不同程度的炎性渗出。结论采用颞侧角膜缘3．2mm隧道式切口的白内障超声乳化吸除术联合折叠人工晶状体植入术是治疗抗青光眼术后白内障的理想有效的方法。Objective To approach curative and the treatment effect of cataract after glaucoma surgery. Methods Retrospective analysis of January 2005 - 2008 December, 48 eyes of cataract af- ter glaucoma surgery treated in our hospital in 40 patients, and 3.2 mm temporal corneal incision were adopt and phacoemulsification and foldable intraocular lens implantation, 3 months to 2 years follow-up to observe the efficacy and postoperative complications. Results Postoperative visual acu- ity improved significantly; 5 eyes of transient ocular hypertension, and the maximum IOP was 28.10 mmHg, and no significant functional bleb reduced and scarring; intraoperative posterior capsule rup- ture in 2 eyes; 1 eye of iris damage; corneal edema in 14 eyes; 10 eyes of different degrees of in- flammatory exudation. Conclusions 3.2mm temporal corneal incision and phacoemulsification and foldable intraocular lens implantation is a good way for the cataract after glaucoma surgery.

关 键 词：抗青光眼术后 白内障 超声乳化白内障吸除术 

分 类 号：R776.1[医药卫生—眼科]