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囊外摘除术与超声乳化术治疗青光眼滤过术后白内障临床分析 被引量:1

Effect of different procedures for cataract after antiglaucomatous operation
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摘要 目的 :比较现代囊外摘除术 (ECCE术 )与超声乳化术 (Phaco术 )治疗青光眼滤过术后的白内障临床疗效。方法 :5 3例(6 2眼 )青光眼滤过术后并发性白内障患者 ,其中行ECCE术 30例 (35眼 )行Phaco术 2 3例 (2 7眼 ) ,随访术后两组患者视力、并发症及眼压 ,并进行比较分析。结果 :术后视力≥ 0 .5者 ,Phaco组为 17眼 (6 2 .96 % ) ,ECCE组为 13眼 (37.14 % ) ,两组差异有显著性 (P <0 .0 5 )。术后房闪 ( )以上 ,有纤维素性渗出或晶体表面有色素沉着者ECCE组高于Phaco组 (P <0 .0 5 )。术后眼压随访两组差异均无显著性 (P >0 .0 5 )。结论 :青光眼滤过术后白内障术式中 ,Phaco术优于ECCE术。 Objective:To observe the clinical effect of Phacoemulsification(Phaco) and ECCE in treatment of cataract after anti- glaucomatous surgery.Methods:Fifty-three cases(62 eyes) of cataract after antiglaucomatous operation were performed Phaco(27 eyes,23 cases) or ECCE(35 eyes,30 cases).The vision,intraocular pressure and postoperative inflammation of the patients were followed up and the results compared.Results:The sight was ≥0.5 in 17 eyes(62.96%) in Phaco group and 13 eyes(37.14%) in ECCE group.The difference was significant(P<0.05).Room water glimmering≥(),celluose seeping out and pigmentation on IOL,in that the ECCE group was severe than the Phaco group(P<0.05).Interlobular pressure was the same between Phaco and ECCE group(P>0.05).Conclusions:Phaco is better than ECCE for the treatment of cataract after antiglancomatous operation.
出处 《蚌埠医学院学报》 CAS 2004年第4期325-326,共2页 Journal of Bengbu Medical College
关键词 白内障摘除术 超声乳化白内障吸除术 青光眼 滤过外科手术 cataract extraction phacoemulsification glaucoma fillering surgery
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参考文献3

  • 1龚启荣 胡楠.现代眼科手术学[M].上海:上海科学技术出版社,1999.258-259.
  • 2Oshik T,Yoshimura K,Miyata N.Postsurgical inflammation after phacoemulsification and extracapsular extration with soft or conventional intraocular lens implantation[J].J Cataraet Refract Surg,1992,18(4):356~361.
  • 3Laurell CG,Zetterstrom C,Philipson B,et al.Randomized study of the blood-aqueous barrier reaction after phacoemulsification and extracapsular cataract extraction[J].Acta Ophthalmol Scand,1998,76(5):573~578.

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