摘要
目的探讨手术治疗葡萄膜炎继发青光眼并发白内障的效果。方法回顾性分析2007年1月至2009年1月住院治疗的28例(32眼)葡萄膜炎继发青光眼并发白内障患者的临床资料,比较术前、术后视力及眼压。结果术后1周及12个月矫正视力提高30眼(93.75%)。25眼(78.13%)术后1周眼压控制在正常范围,7眼(29.91%)需加以抗青光眼药物治疗。2眼(6.25%)术后1个月眼压仍高,再次手术,术后眼压控制在正常范围。术后1周及术后12个月视力、眼压与术前相比,差异均有统计学意义(P<0.01)。结论对葡萄膜炎继发青光眼并发白内障患者行超声乳化白内障吸除人工晶体植入术同时联合抗青光眼手术(包括小梁切除术和虹膜周边切除术)可有效降低眼压,提高视力。
Objective To investigate the efficacy of combination of phacoemulsification and anti-glaucoma surgeries（including trabeculectomy and periphery iridectomy） for secondary glaucoma in uveitis with cataract.Methods The clinical data and related ocular manifestation in 28 patients（32 eyes） with secondary glaucoma in uveitis with cataract in our hospital from January 2007 to January 2009 were retrospectively analyzed.Paired t-test was used to compare the changes of the vision and intraocular pressure（IOP）.Results The visual acuity was improved in 30 eyes（93.75%） after operation.The IOP was normal in 25 eyes（78.13%） one week after operation.7 eyes（29.91%） had anti-glaucoma medical treatment,and 2 eye（6.25%） had a secondary operation because their IOPs were still higher than 22mmHg one month after operation.The visual acuity was significantly higher and the IOP was significantly lower one week and 12months after operation compared with those before operation（all P〈0.01）.Conclusions Combination of phacoemulsification and anti-glaucoma surgeries can improve visual acuity and reduce IOP for secondary glaucoma in uveitis with cataract.
出处
《山东大学耳鼻喉眼学报》
CAS
2010年第5期53-55,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
