Fuchs综合征并发白内障青光眼手术治疗的临床体会

目的: 探讨Fuchs综合征并发白内障青光眼的手术治疗效果。方法: 对Fuchs综合征患者16例16眼合并白内障行超声乳化联合人工晶状体植入术,2例2眼合并白内障及青光眼行超声乳化人工晶状体植入术联合小梁切除术,观察术前和术后视力、眼压以及治疗效果。结果: 患者18例18眼术后视力均有明显提高,术后3mo视力(含矫正)≥0.5者16眼(88.89%),10眼后囊混浊行YAG激光后囊切开术后视力均≥0.5。2眼合并青光眼者术后眼压降至正常范围。结论: 超声乳化联合人工晶状体植入术以及联合小梁切除术治疗Fuchs综合征并发白内障青光眼效果良好,安全可靠,术后反应轻,并发症少,是可行的手术方法。

Clinical experience of surgical treatment of Fuchs syndrome complicated with cataract and glaucoma

AIM: To evaluate the effect of surgical treatment of Fuchs syndrome complicated with cataract and glaucoma.

METHODS: Phacoemulsification and intraocular lens implantation were performed on 16 patients(16 eyes)with Fuchs syndrome complicated with cataract and glaucoma, 2 patients(2 eyes)complicated cataract and glaucoma were treated with phacoemulsification and intraocular lens implantation combined with trabeculectomy. Visual acuities, intraocular pressure and treatment effects were evaluated after treatment.

RESULTS: The visual acuities of all eyes improved obviously. Sixteen eyes(88.89%)attained corrected vision above 0.5 three months after operation, 10 eyes with posterior capsule opacification attained corrected vision above 0.5 three months after the YAG laser posterior capsulotomy. Intraocular pressure of 2 eyes with glaucoma dropped to the normal range.

CONCLUSION: Phacoemulsification and intraocular lens implantation with trabeculectomy is effective and safe for Fuchs syndrome complicated with cataract and glaucoma. It is one of the ideal surgical treatments without severe complications at present.