白内障超声乳化术中并发恶性青光眼的处理与观察

Treatment and observation of cataract phacoemulsification combined with malignant glaucoma

目的:探讨白内障超声乳化手术中并发恶性青光眼、临床疗效及危险因素。方法:对5例在接受白内障超声乳化术中发生恶性青光眼患者处理方法进行临床观察分析。结果:术中并发恶性青光眼5例全为女性,眼轴长度20.8～21.9mm,5例全部成功植入人工晶状体,术后角膜透明,前房深度正常。术后视力0.5～0.8,术后随访1mo眼压正常。结论:小眼球、短眼轴是白内障超声乳化术中并发恶性青光眼的危险因素。术中发生恶性青光眼通过积极处理,术后视力及眼压仍能达到良好效果。

AIM：To evaluate the clinical therapeutic effect and risk factors of phacoemulsification combined with malignant glaucoma. METHODS： Five patients combined with malignant glaucoma during the phacoemulsification operation were studied for the analysis of the treatment and the observation of clinical therapeutic effect. RESULTS： Five patients combined with malignant glaucoma during the operation were females, The axial length was from 20.8mm to 21.9mm. Five cases were smoothly implanted intraocular lens. There were no serious ocular complications after the operation . The cornea was transparent and the depth of anterior chamber was normal. The postoperative vision was from 0.5 to 0.8. The intraocular pressure was normal after 1 month followup observation. CONCLUSION： Small eye ball and short axial length were risk factors of malignant glaucoma during the operation. Careful treatment can achieve a satisfactory therapeutic effect.