白内障超声乳化术后眼压和前房深度的变化

目的观察白内障超声乳化吸除联合囊袋内植入人工晶状体术后眼压、前房的变化。方法对2007年3月到2008年12月收治的老年性白内障60例（60只眼）,行巩膜隧道切口白内障超声乳化吸除联合囊袋内人工晶状体植入手术。术后随访3～6个月。观察术前、术后3 d、1周、1个月时眼压、前方深度的变化。结果术后所有患眼眼压较术前均有下降,差异有显著性（P〈0.01）。术后所有患眼中央前方深度较术前均有加深,两者比较差异有显著性（P〈0.01）。结论巩膜隧道切口白内障超声乳化吸除联合囊袋内人工晶状体植入术,术后眼压下降,中央前方深度加深。为合并白内障的急性、慢性闭角型青光眼患者的治疗手段提供了一个新的思路。

Changes in the intraocular pressure and the central anterior chamber depth of phacoemulsification and aspiration of cataract and the implantation of posterior chamber intraocular lens

Objective To observe the changes in the intraocular pressure and the central anterior chamber depth of phacoemulsification and lens implantation.Methods 60 eyes of cases of senile cataract were received phacoemulsification surgery plus posterior chamber intraocular lens implantation with scleral tunnel incision.Postoperative intraocular pressure（3 d、1 w、1 m）,depth of anterior chamber were observed.The postoperative follow-up was at least three-month.Results The mean postoperative IOP was significantly decreased compared preoperative IOP（P〈0.01）.The mean postoperative central anterior chamber depth was significantly increased compared preoperative depth of anterior chamber（P〈0.01）.Conclusion The surgery of phacoemulsification with PC-IOL implantation was making postoperative IOP to decrease and postoperative central anterior chamber to deep.It can be a good idea for treating acute and chronic angle-closure glaucoma with cataract.