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青光眼滤过术后白内障超声乳化术的临床观察 被引量:7

Phacoemulsification and Lntraoclular Lens Lmplantation for Cataract Patients Underwent Filtering Surgery
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摘要 目的观察青光眼滤过术后经角膜缘切口的白内障超声乳化人工晶体植入术的疗效。方法对38例38眼青光眼滤过术后白内障患者行滤过泡旁角膜缘切口白内障超声乳化人工晶体植入术,观察术中术后并发症、视力、眼压、滤过泡情况。结果术后随访3~6个月,术后视力≥0.5者13眼(34%),0.3~0.5者21眼(55%),≤0.3者4眼(11%)。术后眼压均在正常范围(11.23~20.15 mm Hg)。功能性滤过泡无瘢痕化,38只眼全部植入人工晶体,术中无一例后囊膜破裂、眼内出血等并发症。角膜水肿、虹膜反应是术后主要并发症。结论滤过泡旁角膜缘切口白内障超声乳化术安全有效。 Objective To observe the effect of Phacoemulsification and intraoclular lens implantation through clear corneal incision for cataract patients underwent filtering operation.Methods For 38 cases(38 eyes) of cataract patients with a history of antigiocomarous filtering operation,phacoemulsification and intraoclular lens implantation was performed through clear corneal incision.Intra and after operative complication,vision,intraocular pressure,follicle were observed.Results Following up three to six months,visual acuity was≥0.5 in 13 eyes(34%),0.3-0.5 in 21 eyes(55%),and ≤0.3 in 4 eyes(11%).The pressure was all within normal range(11.23-20.15 mm Hg).The functionality follicle wasn't cicatrisation.Intraocular lens were all implanted into 38 eyes,and no complications like capsular broke,intraocular hemorrhage were observed.Edema of corneal and reaction of iris were the main postoperative complications.Conclusion Intraocular lens implantation through clear corneal incision in glaucomatous eyes was safe and effective.
出处 《中华全科医学》 2011年第12期1879-1879,1948,共2页 Chinese Journal of General Practice
关键词 青光眼 滤过术 白内障 超声乳化 人工晶体 Glaucoma Flitering operation Cataract Phacoemulsification Intraoclular lens
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