临床眼科杂志Issue(5)：407-409,3.DOI:10.3969/j.issn.1006-8422.2015.05.008
超声乳化术联合23 G前部玻璃体切除术治疗白内障继发青光眼
Efficacy of phacoemulsification combined with 23G anterior vitrectomy for secondary glaucoma
郑纯 1李学喜 2陈佳娜2
作者信息
- 1. 230031合肥，解放军第105医院
- 2. 362000 福建泉州，解放军第180医院
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of single channel 23G minimally invasive anterior vitrec-tomy combined with phacoemulsification and foldable lens implantation in the treatment of secondary glaucoma due to intu-mescent cataract.Methods Totally 29 eyes of secondary glaucoma due to intumescent cataract with uncontrolled intraocu-lar pressure ( IOP) after 3 to 5 days of medication treatment were studied.These patients were treated with single channel 23G minimally invasive anterior vitrectomy in order to lower the IOP.Phacoemulsification and foldable intraocular lens im-plantation followed vitrectomy.After 6 months to 1 year, pre-and postoperative visual acuity, anterior chamber depth and angle opening degree were analyzed.Results All surgeries were successfully completed.There was no serious complica-tion observed during and after surgery.Best corrected visual acuity improved in 26 eyes (89.6%):it was 0.1~0.8 in 27 eyes and <0.1 in 2 eyes.IOP was 35.8~47.5 mmHg before the surgery, and reduced to 13.5~28.9 mmHg after the surgery.IOP was controlled within the normal range in 3 eyes by medication ( P <0.01).Anterior chamber depth was 1.193 ±0.265 mm before the surgery, and increased to 3.082 ±0.345 mm after the surgery.This change was significant ( P <0.01).Anterior chamber angle was widened or partially opened in all patients after the surgery.Conclusion Phacoe-mulsification and foldable lens implantation combined with 23G minimally invasive anterior vitrectomy is an effective method to treat secondary glaucoma due to intumescent cataract.关键词
超声乳化/23G前部玻璃体切除/白内障/青光眼Key words
Phacoemulsification/23G anterior vitrectomy/Cataract/Glaucoma引用本文复制引用
郑纯,李学喜,陈佳娜..超声乳化术联合23 G前部玻璃体切除术治疗白内障继发青光眼[J].临床眼科杂志,2015,(5):407-409,3.
