摘要
目的 :初步评价白内障超声乳化摘除联合人工晶体植入术治疗合并有葡萄膜炎引起的继发性青光眼和并发性白内障的疗效。方法 :对 13例 (15眼 )同时患有葡萄膜炎、继发性青光眼和并发性白内障的患者行连续环形撕囊的白内障超声乳化摘除联合人工晶体植入术 ,观察术后并发症、眼压和视力的变化情况。结果 :所有患者术中、术后都没有出现严重的并发症 ;术后 3个月的视力平均为 0 .34± 0 .19,明显好于术前 0 .0 5± 0 .0 7(P<0 .0 5 ) ;术后 3个月眼压和使用抗青光眼药物的种类分别为 2 .0 3± 0 .31k Pa(15 .2 1± 2 .36 mm Hg)和 0 .83± 0 .32种 ,较手术前的2 .33± 0 .14k Pa(17.5± 1.0 3mm Hg)和 2 .7± 0 .2 1种减少 (P<0 .0 5 )。结论
Objective: To evaluate the effect of phacoemulsification in the patients with cataract and glaucoma complicated with uveitis. Methods: Phacoemulsification and implantation of PC-IOL was performed in 13 patients (15 eyes) with uveitis, secondary glaucoma and complicated cataract. The postoperative complications, intraocular pressures (IOP), and visual acuity were observed. Results: No severe complication was found in the patients postoperatively or within the operation procedure. The visual acuity were improved from 0.05±0.07 to 0.34±0.19 after the operation (P<0.05). The intraocular pressures after 3 months of the follow-up and the types of anti-glaucoma medications were reduced time from preoperative 2.33±0.14KPa (17.5±1.03mmHg) and 2.7±0.21 sorts, respectively to postoperative 2.03±0.31Kpa (15.21±2.36mmHg) and 0.83±0.32 sorts. Conclusions: Phacoemulsification seems another best way to treat the patients with secondary glaucoma and complicated cataract caused by uveitis.
出处
《中国实用眼科杂志》
CSCD
北大核心
2001年第10期775-777,共3页
Chinese Journal of Practical Ophthalmology
