青光眼滤过术后白内障手术治疗的临床观察  

Clinical observation of the treatment of cataract surgery after glaucoma filtering surgery

作　　者：郭晓娜[1] 张仲臣[1] 

机构地区：[1]北京航天中心医院眼科,100049

出　　处：《中华眼外伤职业眼病杂志》2013年第4期271-272,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨青光眼滤过术后白内障手术治疗的临床疗效。方法32例（43眼）青光眼滤过术后白内障行透明角膜切口白内障超声乳化人工晶状体植入术。结果术后视力较术前均有不同程度提高。术后并发症有：术中后囊破裂1眼（2．32％），角膜中度以上水肿8眼（18．60％），前房积血2眼（4．65％），一过性高眼压6眼（13．95％），虹膜炎3眼（6．98％）以及视神经萎缩6眼（13．95％）。无其它严重并发症发生。结论透明角膜切口白内障超声乳化治疗青光眼滤过术后白内障具有操作简单、损伤小、视力恢复快、降眼压效果好等优点。Objective To observe the clinical efficacy of cataract surgery after glaucoma filtration. Methods Phacoemulsification and intraocular lens implantation through clear corneal incision were performed on 43 eyes of 32 cases after glaucoma filtering surgery. Results The postoperative visual acuity was improved in all cases compared with preoperative varying degrees. The visual acuity of 0.3 - 0.5 was 10 eyes （23.26%）, 0.6 to 0.8 was 15 eyes （34.88%）, ≥ 1.0 was 8 eyes （18.60%）. The postoperative complications were intraoperative posterior capsular rupture in 1 eye （2.32%）, the cornea with above moderate edema 8 eyes （ 18.60% ）, postoperative hyphema 2eyes （4. 65% ）, postoperative high intraocular pressure 6 eyes （ 13.95% ）, postoperative iritis 3 eyes （6.98%） and optic atrophy 6 eyes（ 13.95% ）. No serious complications occurred. Conclusion The advantages of the surgery were simple, small damage, faster visual recovery and the good effect reducing the intraocular pressure.

关 键 词：青光眼 小梁切除术 白内障 超声乳化 透明角膜切口 

分 类 号：R779.6[医药卫生—眼科]