青光眼术后颞侧小切口白内障摘除及人工晶体植入术应用探讨

Extracapsular cataract extraction by temperal small incision after glaucomatous filtering surgery

目的探讨青光眼术后颞侧小切口白内障摘除及人工晶体植入术的疗效。方法对青光眼滤过术后白内障48例(56眼)采用颞上象限或颞侧小切口非超声乳化白内障摘除人工晶体植入术。结果56眼术后视力均有明显提高。术中术后无严重并发症,术后平均眼压(14·18±3·72)mmHg。均有功能性滤过泡,未见瘢痕化。结论该手术操作简单,术后并发症少,视力恢复快,眼压控制较好。

Objective To investigate the effect of extracapsular cataract extration by small incision after glaucomatous filtering surgery. Methods Non-phaeoemulsificatinon extracapsular cataract extraction with posterior chamber intraocular lens implantation through temperal small tunnel incision was performed on 56 eyes of 48 glaucoma patients with preexisting filtering bleb. Results Visual acuity was improved in 56 eyes of 48 cases postoperatively. No severe complication was found intraoperatively and postoperatively. The postoperative IOP was （14.18 ± 3.72 ）mm Hg. The funetiond filtering bled had no apparently cicatrisation. Conclusion The operation is an effective method to treat cataract after glauconcatous filtering surgery.