摘要
目的观察超声乳化白内障吸除植入后房型人工晶状体治疗恶性青光眼的临床疗效。方法对18例、18眼青光眼滤过手术后发生的恶性青光眼,超声乳化白内障吸除,植入后房型人工晶状体、小梁切除。结果术后前房不同程度的加深,眼压控制正常,术前眼压(41.01±11.51)mmHg[(5.47±1.53)kPa],术后眼压(17.33±2.43)mmHg[(2.31±0.32)kPa];视力均有不同程度的提高,<0.051眼(5.5%),0.1￣0.311眼(61.1%),>0.47眼(38.9%)。并发症:瞳孔区渗出膜5眼(27.8%),虹膜后粘连6眼(33.3%),前粘连2眼(11.1%),角膜内皮水肿6眼(33.3%)。结论超声乳化白内障吸除植入后房型人工晶状体是治疗恶性青光眼的有效方法之一。
Objective To observe the clinical effect of phacoemulsification and implantation of posterior chamber intraocular lens on malignant glaucoma. Methods There were 18 cases （18 eyes） with malignant glaucoma after glaucoma filtering operation. Phacoemulsification for cataract surgery, implantation of posterior chamber intraocular lens and trabeculectomy were performed on them. Results The anterior chamber depth increased in different degrees after operation. The pre-operative intraocular pressure （IOP） was （41.01± 11.51） mm Hg, and the postoperative IOP was （17.33 ± 2.43） mm Hg, which was in the normal range. The visual acuity were improved as： 1 eye （5.5%） which was lower than 0.05; 10 eyes （55.6%） between 0.1-0.3; 7 eyes （38.9%） higher than 0.4. Complication： 5 eyes （27. 8%） with exudative iris in papillary area; 6 eyes （33.3%）with posterior synechia; 2 eyes （11.1%） with anterior synechia; 6 eyes （33.3%） with edematous corneal endothelium. Conclusion Phacoemulsification and implantation of posterior chamber intraocular lens for malignant glaucoma is an effective method.
出处
《食品与药品》
CAS
2006年第04A期51-52,共2页
Food and Drug
关键词
恶性青光眼
超声乳化白内障吸除术
人工晶状体植入
malignant glaucoma
ultrasonic phacoemulsification
implantation of intraocular lens
