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抗青光眼术后白内障超声乳化术疗效观察
引用本文:王艳平,陈逢义.抗青光眼术后白内障超声乳化术疗效观察[J].实用临床医药杂志,2011,15(23).
作者姓名:王艳平  陈逢义
作者单位:1. 湖北省仙桃市第一人民医院眼科,湖北仙桃,433000
2. 湖北省仙桃市第一人民医院神经内科,湖北仙桃,433000
基金项目:中国高校医学期刊临床专项资金(11120027)
摘    要: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,0.3~0.5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。

关 键 词:抗青光眼术  白内障超声乳化术  视力  眼压

The phacoemulsification for complicated cataract after anti-glaucoma surgery
WANG Yan-ping , CHEN Feng-yi.The phacoemulsification for complicated cataract after anti-glaucoma surgery[J].Journal of Clinical Medicine in Practice,2011,15(23).
Authors:WANG Yan-ping  CHEN Feng-yi
Institution:WANG Yan-ping1,CHEN Feng-yi2(Xiantao No.1 People's Hospital,Xiantao,Hubei,433000)
Abstract: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 postoperative 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 complications.It′s safe and effective.
Keywords:glaucoma surgery  phacoemulsification  vision  intraocular pressure  
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