青光眼滤过术后小切口白内障摘除人工晶体植入

目的观察青光眼滤过术后颞侧小切口白内障非超声乳化人工晶体植入术的疗效。方法对76只眼青光眼滤过术后白内障行经颞侧小切口非超声乳化人工晶体植入术，随访3～15个月，观察眼压，视力，滤过泡。结果白内障术后患者视力均有不同程度提高，术后视力〉0．2者占65．8％。眼压平均（2．03±0．50）KPa。功能性滤过泡未见明显疤痕化。结论青光眼滤过术后白内障，采用经颞侧小切口非超声乳化人工晶体植入术，可以避开滤过泡保存原有滤过功能，术后反应轻，视功能恢复好，手术安全可靠。

Extracapsular cataract extraction by temperal small incision after glaucomatous filtering surgery

Objective To investigate the effect of extracapsular cataract extration by small-incision non-phacoemulsification after glaucomatous filtering surgery. Methods The operationss were performed on 76 eyes with a precxisting filtration bleb, in which at the temporal scleral incision was selected and follow-up for 3～15 months. Results The postoperative visual acuity of all patients improved in different degrees with. 0. 2 in 60. 5%, and postoperative lop was (2. 03±0. 50 Kpa). The functional filtering bleb was not apparently cica-triced. Conclusion For the filtered glaucoma eyes with cataract, through temporal small-incision cataract ex-traction and intraocular lens implantation can be used to avoid disturbing the filtering bleb with little postopera-tive reactions, vision is improved and the IOP control is not affacted, the operation is safe and reliable.