复杂的青光眼手术术后白内障手术的技巧

The skills of cataract operation after complex glaucoma surgery

目的探讨复杂的青光眼手术术后白内障的手术技巧。方法56例（67眼）复杂的青光眼手术术后白内障进行超声乳化联合人工晶状体植入术。针对术前瞳孔散大、虹膜后黏连、核较硬及眼压高等情况应用相应的手术技巧。观察术后视力、瞳孔、角膜和眼压等情况。结果术后随访3—6个月，最佳矫正视力：0．05—0．25者18眼，0．3～0．5者44眼，0．6及以上者5眼。较术前的光感-0．12有明显提高。术后2例眼压稍高，药物治疗后恢复正常。主要并发症还有角膜水肿、葡萄膜炎及瞳孔变形等。结论复杂的青光眼手术后进行白内障手术时，应用相应的手术技巧可以提高手术效果，减少并发症。

Objective To investigate the operation techniques for cataract after complex glaucoma surgery. Methods Sixty-seven eyes of 55 patients with cataract after complex glaucoma surgery received phacoemulification. According to the situation of preoperative pupillary widening posterior synechia , hard nucleus cataract and high intraocular pressure , we choose to apply the appropriate surgical skills. Postoperative visual acuity , the pupil , corner and intraocular pressure were observed. Results Followed up 3 -6 months,postoperative the best corrected visual acuity was 0.05 -0.25 in 18 eyes,0.3 -0.5 in 44 eyes, ≥0.6 in 5 eyes. Compared with the preoperative visual acuity of light sense to 0. 12, the postoperative visual acuity was improved. Two cases occurred temporary intraocular hypertension after the operation. By drug therapy the intraoeular pressure was controled . The main complications were corneal edema, postoperative uveitis and pupil deformation. Conclusion Application of surgery ski｜Is for treatment of cataract after glaucoma surgery can improve operation effect and reduce complications.