摘要
目的：探讨闭角型青光眼小梁切除术后白内障超声乳化手术的并发症及其防治。方法：回顾性分析2008-01/2012-06在本院眼科行白内障超声乳化的闭角型青光眼小梁切除术后患者33例37眼，随访12～33mo，观察患者术中、术后并发症情况。结果：术后随访6mo，眼压较术前未增高。虹膜损伤5眼，角膜水肿14眼，前房炎性渗出16眼，均在3～7d内消退。无后囊破裂及玻璃体脱出病例。结论：超声乳化术是治疗闭角型青光眼小梁切除术后白内障的一种比较有效的方法，术前详细检查，术中注意防范，能减少或避免手术并发症的发生。
AIM： To discuss the complications and prevention of phacoemulification in primary angle-closure glaucoma after trabeculectomy.METHODS： Retrospective analysis of 33 cases（37 eyes）phacoemulification in primary angle-closure glaucoma after trabeculectomy in our hospital between January 2008 and June 2012, followed up 12-33mo, intraoperative and postoperative complications were observed.RESULTS： Compared with pre-operation, intraocular pressure hadn＇t increased in follow-up 6mo. Iris was injured in 5 eyes, corneal edema was in 14 eyes, anterior chamber inflammation was in 16 eyes, all symptoms were improved in 3-7d. And no case with posterior capsule rupture or vitreous loss.CONCLUSION： Phacoemulification is an effective way for the treatment of cataract after angle-closure glaucoma trabeculectomy, careful preoperative examination, intraoperative prevention can reduce or avoid the occurrence of surgical complications.
出处
《国际眼科杂志》
CAS
2014年第6期1068-1070,共3页
International Eye Science
