白内障摘除治疗白内障合并青光眼62例分析

目的探讨单纯白内障摘除术治疗白内障合并青光眼的临床疗效。方法62例白内障合并青光眼患者62只眼实施单纯白内障摘除术，观察手术前后术者的眼轴长度、眼压、房角和前房深度，并选择无青光眼的白内障患者32例36眼做为眼轴长度比较，并做统计学分析。结果伴发青先眼的白内障患者眼轴长度较无青光眼的白内障患者的眼轴显著短；青光眼患者术后4d时的眼压9—21mmHg，平均（14．46±4．54）mmHg]较术前1d时的眼压16—34mmHg，平均（26．02±4．38）mmHg]显著下降；手术后所有患者房角较术前都有不同程度的开放，并且前房深度均有显著增加。结论白内障摘除治疗白内障合并青光眼，可以降低眼压从而治疗青光眼。

Effects of cataract extraction on cataract combined with glaucome

Objective To investigate surgical methods of treating secondary glaucoma due to tumescent senile cataract.Methods Sixty two inpatient cases(62 eyes)who suffered from secondary glaucoma due to tumescent senile cataract underwent extracapsular cataract extraction(ECEE)or phacoemulsification combined with intraocular lens implant.The changes of the eye axis,intraocular pressure(IOP),anterior chamber angle and the depth of anterior chamber were observed.Resuls The mean eye axis length of patients suffering from secondary slaucoma due to tumescent senile cataract was significanly longer than controls.The mean iotraocular pressure of inpatients had reduced from(26.02±4.38)mm Hg preoperatively to(14.46±4.54)mm Hgpostoperatively.Anterior chamber angle was opening and depth of anterior chamber was increased after operation.Conclusioo The tnain reason of secondary glaucoma due to tumescent senile cataract is that cataract inflation leads to structural change of anterior chamber angle.This kind of glaucoma patients can be treated by purely extracapsular cataract extraction(ECCE)or phacoemulsification combined with intraoctdar lens implant without slaloms operation.