小梁切除术后白内障超声乳化手术分析  

Analysis of phacoemulsification cataract excise combined with intraocular lens implantation after trabeculectomy

作　　者：吴艺[1] 古爱平[1] 龙佩仪[1] 钟艳芳[1] 刘燕芳[1] 

机构地区：[1]广东省第二人民医院眼科,中国广东省广东市510317

出　　处：《国际眼科杂志》2012年第9期1700-1701,共2页International Eye Science

摘　　要：目的:探讨分析抗青光眼小梁切除术后白内障超声乳化摘除联合人工晶状体植入术的手术方法、技巧及效果分析。方法:我院2007-01/2010-12对87例87眼抗青光眼小梁切除术后发生白内障的病例行白内障超声乳化摘除联合人工晶状体植入术,随访6mo,分析术后视力、眼压、并发症等情况。结果:术后随访6mo,87眼术后视力均有不同程度的提高,其中78眼(90%)视力≥0.3;术后眼压均较术前下降;术后并发症主要有角膜水肿(15眼,17%)、虹膜反应(11眼,13%)、前房出血(5眼,6%)、后囊膜混浊(10眼,11%)。结论:对抗青光眼小梁切除术后出现的白内障,行透明角膜切口的白内障超声乳化摘除联合人工晶状体植入术可显著提高视力,保持滤过泡和眼压的稳定,恢复眼前节的组织结构。AIM：To discuss the surgical technique and therapeutic effects of phacoemulsification cataract excise combined with intraocular lens（IOL） implantation after anti-glaucoma trabeculectomy.METHODS：We retrospectively reviewed 87 cases（87 eyes） with phacoemulsification cataract excise combined with IOL implantation after anti-glaucoma trabeculectomy during January 2007 to December 2010. Followed up for 6 months. The postoperative visual acuity, intraocular pressure（IOP） and complications were analyzed.RESULTS：Followed up for 6 months after surgery, the visual acuity of these cases all improved,≥0.3 in 78 cases （90%）. The postoperative IOP were all decreased compared with preoperative IOP. The complications were corneal edema （15 eyes, 17%）, iris reaction （11 eyes, 13%）, hyphema （5 eyes, 6%） and posterior capsule opacification （10 eyes, 11%）.CONCLUSION：The phacoemulsification cataract excise combined with IOL implantation after anti-glaucoma trabeculectomy can significantly improve the visual acuity, maintain the stabilization of filtering bleb and IOP, and recover the structure of anterior segment.

关 键 词：抗青光眼小梁切除术后 白内障 超声乳化 

分 类 号：R779.6[医药卫生—眼科]