摘要
目的:探讨硅油乳化继发青光眼及白内障的手术方式。方法:选取硅油乳化继发青光眼及白内障患者30例30眼,行硅油取出联合晶状体超声乳化人工晶状体植入及小梁切割术,观察患者术后7d～6mo术眼的视力、眼压,以及术后并发症发生的情况。结果:所有术眼均有不同程度的乳化硅油小滴残留,术后视力上升者18眼(60%),下降者7眼(23.3%),不提高者5眼(16.7%);眼压1wk内正常者25眼(83.3%),高于正常者5眼(16.7%);6mo后眼压正常者28眼(93.3%),高于正常者2眼(6.7%);无角膜失代偿、人工晶状体移位或玻璃体积血发生。结论:硅油取出术联合晶状体超声乳化人工晶状体植入及小梁切割术可有效控制硅油乳化继发青光眼及白内障患者的眼压,并提高视力,是一种治疗硅油乳化继发青光眼及白内障安全、有效的术式之一。
AIM ：To explore the surgery of secondary glaucoma and cataract after silicone oil emulsification. METHODS： Silicone oil removal combined with crystal phacoemulsification and intraocular lens implantation and trabeculectomy surgery was performed in secondary glaucoma and cataract after silicone oil emulsification. And the visual acuity, intraocular pressure, complications were analyzed between 7 days to 6 months after surgery. RESULTS： All the operative eyes had varying degrees of silicone emulsion droplets residual. And visual acuity increased in 18 （60%） eyes, decreased in 7（23.3%） eyes, without change in 5 （16. 7%） eyes. The numbers of patients at 1 week after surgery having normal intraocular pressure accounted for 25 （83.3%） eyes, 5 （16.7%） eyes were higher than normal. At 6 months after surgery, 28 （93. 3%） eyes of the patients had normal intraocular pressure, 2 （6. 7%） eyes higher than normal, and no corneal decompensation, intraocular lens shift or vitreous hemorrhage occurred. CONCLUSION： Silicone oil removal combined with crystal phacoemulsification, and intraocular lens implantation and trabeculectomy surgery can effectively control the intraocular pressure and improve visual acuity in secondary glaucoma and cataract after silicone oil emulsification. The surgery is an effective and safe way on secondary glaucoma and cataract after silicone oil emulsification.
出处
《国际眼科杂志》
CAS
2013年第6期1228-1229,共2页
International Eye Science
关键词
硅油乳化
超声乳化
小梁切割术
silicone oil emulsification
phacoemul-sification
trabeculectomy
