颞侧巩膜手法小切口白内障摘出术治疗青光眼术后白内障

目的：探讨青光眼滤过术后行小切口白内障的手术方法及疗效。方法：采用颞侧巩膜隧道切口,对50例50眼青光眼术后白内障患者行小切口白内障囊外摘出联合人工晶状体植入术,术后观察视力、眼压、角膜曲率、滤过泡等情况。结果：随访3～12mo,所有患者视力较术前均有提高。眼压与术前基本相同,滤过泡形态无改变。术后1wk角膜曲率为0.75～1.25D,在术后3mo恢复到术前状态。未见明显并发症。结论：经颞侧巩膜手法小切口白内障摘出术是治疗青光眼术后白内障的有效方法。

Manual small incision cataract extraction through temporal scleral incision after glaucoma surgery

AIM:To evaluate the efficacy of a method of small incision cataract extraction after glaucoma filtering surgery. METHODS:50 eyes of 50 patients with cataract after glaucoma surgery underwent manual small incision catarat extraction through a temporal scleral tunnel incision.The postoperative visual acuity,IOP, corneal curvature and filtering bleb were observed. RESULTS:Followed up for 3-12 months,the visual acuity of all the eyes were improved after surgery.There were no changes in IOP and filtering bleb.Postoperative changes in corneal curvature(0.75-1.25D) returned to preoperative levels 3 months after operation. CONCLUSION:The manual small incision cataract extraction through a temporal scleral tunnel incision is convenient and effective in treating cataract after glaucoma surgery.