国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1068-1070
,共3页
小梁切除术%白内障%超声乳化白内障摘除术%并发症
小樑切除術%白內障%超聲乳化白內障摘除術%併髮癥
소량절제술%백내장%초성유화백내장적제술%병발증
trabeculectomy%cataract%phacoemulsification%complication
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。<br> 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。<br> 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3~7 d内消退。无后囊破裂及玻璃体脱出病例。<br> 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。
目的：探討閉角型青光眼小樑切除術後白內障超聲乳化手術的併髮癥及其防治。<br> 方法：迴顧性分析2008-01/2012-06在本院眼科行白內障超聲乳化的閉角型青光眼小樑切除術後患者33例37眼,隨訪12~33mo,觀察患者術中、術後併髮癥情況。<br> 結果：術後隨訪6mo,眼壓較術前未增高。虹膜損傷5眼,角膜水腫14眼,前房炎性滲齣16眼,均在3~7 d內消退。無後囊破裂及玻璃體脫齣病例。<br> 結論：超聲乳化術是治療閉角型青光眼小樑切除術後白內障的一種比較有效的方法,術前詳細檢查,術中註意防範,能減少或避免手術併髮癥的髮生。
목적：탐토폐각형청광안소량절제술후백내장초성유화수술적병발증급기방치。<br> 방법：회고성분석2008-01/2012-06재본원안과행백내장초성유화적폐각형청광안소량절제술후환자33례37안,수방12~33mo,관찰환자술중、술후병발증정황。<br> 결과：술후수방6mo,안압교술전미증고。홍막손상5안,각막수종14안,전방염성삼출16안,균재3~7 d내소퇴。무후낭파렬급파리체탈출병례。<br> 결론：초성유화술시치료폐각형청광안소량절제술후백내장적일충비교유효적방법,술전상세검사,술중주의방범,능감소혹피면수술병발증적발생。
AIM: To discuss the complications and prevention of phacoemulification in primary angle-closure glaucoma after trabeculectomy. <br> 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. <br> 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. <br> 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.
