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青光眼滤过术后白内障超声乳化吸出和人工晶状体植入术

Cataract phacoemulsification and intraocu lar lens implantation after glaucoma filtering surgery
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摘要 目的:探讨分析青光眼滤过术后的白内障患者施行透明角膜切口的超声乳化吸出和植入后房型人工晶状体的临床疗效。方法:对32例(32眼)青光眼滤过术后白内障患者行透明角膜切口的超声乳化吸出和人工晶状体植入术,分析术后视力、眼压及并发症。结果:术后视力均较术前提高,其中术后视力达0.3~0.4占59%,0.5以上占25%。术后97%眼压维持正常。术后并发症包括角膜内皮水肿、前段葡萄膜反应、前房出血、后囊膜混浊。结论:透明角膜切口的超声乳化手术安全有效,提高视力同时保护了原有滤过泡功能。 AIM:To investigate and analyse the curative effects of cataract phacoemulsification with clear corneal incision and intraocular lens implantation after glaucoma filtering surgery. METHODS:A total of 32 eyes with cataract after glaucoma filtering surgery received phacoemulsification with clear corneal incision and intraocular lens implantation;The postoperative vision,intraocular pressure and complications were analysed. RESULTS:The visual acuity of all eyes were improved after surgery.The visual acuity of 59% of the eyes increased to 0.3-0.4,and 25% of the eyes to 0.5 or better.31 eyes(97%)had normal intraocular pressure.The postoperative complications included corneal endothelial edema ,anterior uveal reaction,hyphema and posterior capsule opacification. CONCLUSION:The phacoemulsification with clear corneal incision is safe and effective.It can improve their visual acuity and maintain the function of filtering blebs.
作者 冯利 成静
出处 《国际眼科杂志》 CAS 2007年第5期1478-1479,共2页 International Eye Science
关键词 青光眼 白内障 超声乳化 透明角膜切口 glaucoma cataract phacoemulsification clear corneal incision
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  • 1Sitki SE, Umit UI, Faruk O. Surgically induced astigmatism after superotemporal and superonasal clear corneal incisions in phacoemulsification. J Cataract Refract Surg, 2004, 30:1316-1319. 被引量:1
  • 2Pfleger T,Skorpik C,Menapace R,et al.Long-term course of induced astigmatism after clear corneal incision cataract surgery.J Cataract Refract Surg, 1996, 22:72-77. 被引量:1
  • 3蒋慧中,施玉英.白内障摘除联合人工晶状体植入术后的屈光状态[J].国外医学(眼科学分册),2003,27(5):293-298. 被引量:31

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