抗青光眼术后白内障超声乳化术疗效观察

The phacoemulsification for complicated cataract after anti-glaucoma surgery

目的探讨抗青光眼术后行白内障超声乳化术的临床疗效。方法对本院眼科收治的38例（43眼）抗青光眼术后白内障患者行白内障超声乳化术，术后随访10～36个月，观察患者视力、眼压以及术后并发症等情况。结果治疗后，38眼视力有不同程度提高，5眼视力无提高患者系青光眼视神经萎缩，术后矫正视力低于0．1者5眼，0．1～0．3者13眼，0．3～O．5者17眼，0．5以上8眼；术后眼压均在正常范围，未发现严重并发症。结论抗青光眼术后行白内障超声乳化术可显著提高视力，对眼压无显著影响，且并发症少，安全有效。

Objective To explore the clinical effect of cataract phacoemulsification after anti - glaucoma. Methods Thirty - eight patients （43 eyes） with cataract after anti - glaucoma surgery received phacoemulsification, and were followed up for 10--36 months to observe the visual acuity, intraocular pressure, and postoperal：ive complications situation. Results After treatment, the visual acuity of 38 eyes improved and 5 eyes didn＇t improve because of optic atrophy. The corrected visual acuity showed lower than 0.1 （5 eyes）, 0.1--0.3 （13 eyes）, 0.3--0.5 （17 eyes） and higher than 0.5 （8 eyes）. There was no significant effect on postoperative intraocular pressure, which was within normal range. No serious complications happened. Conclusion Cataract phacoemulsification after anti - glaucoma surgery can significantly improve visual acuity, have no impact on intraocular pressure and have fewer complicatkms. It＇s safe and effective.