青光眼小梁切除术后手法小切口白内障手术的临床效果评价

Clinical observation of manual small incision cataract surgery after glaucoma trabeculectomy

目的评价青光眼小梁切除术后手法小切口白内障摘出人工晶状体植入的临床效果。方法对66例（69眼）小梁切除术后白内障行鼻上或颞上象限手法小切口囊外摘出人工晶状体植入术，术后随访6～36月，观察术后视力、眼压及并发症。结果66例（69眼）术后视力恢复较满意，术后1周矫正视力〈0．05者3眼占4．35％，0．05～0．25者12眼占17．39％，0．3～0．5者24眼占34．78％，0．6～1．0者18眼占26．09％，〉1．0者12眼占17．39％。手术后眼压稳定，平均眼压（15．66±3．62）mmHg（1mmHg=0．133kPa）。手术并发症为早期角膜水肿及葡萄膜反应，均较轻，2～7日内消退。结论手法小切口白内障手术治疗青光眼小梁切除术后白内障，操作简便，术后恢复快，眼压控制好，在应对青光眼术后白内障的复杂情况方面似有优于超声乳化手术之处。

Objective To investigate the efficiency of manual small incision non-phacoemulsification with IOL implantation after glaucoma trabeculectomy. Methods 66 cases （69eyes） accepted manual small incision cataract extraction with IOL implantation after antiglancoma surgery. Follw up 3 - 36 months, we observed the postoperative vison, IOP and complications. Results The postoperative vison were improved in 69 eyes, 〈 0. 05 were in 3 eyes （4.35%） ,0.05 -0. 25 in 12 eyes（17.39%） ,0. 3 - 0.5 in 24 eyes （34.78%）, 0.6-1.0 in 18 eyes （26.09%）, 〉1.0 in 12 eyes （17.39%）. Postoperative average IOP was （ 13.66 ± 3.62） mmHg （1 mmHg =0. 133 kPa）. The complications were early corneal edema and uveitis. Conclusions This operative technique is an effective method to treat cataract after glaucoma surgery.