CAJ | 학술논문

目的：探讨青光眼引流阀植入术后白内障的治疗。方法对7例7眼青光眼引流阀植入术后白内障需手术治疗的患者，根据眼压、前节OCT等情况分别采用白内障囊外摘除(ECCE)、白内障超声乳化(Phaco)、联合或不联合前段玻璃体切除，结合视功能情况植入或不植入人工晶体(IOL)，部分患者行房角分离术。结果术后患者眼压均得以控制，视力提高4眼，不变3眼。结论对青光眼引流阀植入术后白内障需手术治疗的患者，根据眼压、前节OCT等情况作相应处理，术后患者眼压仍可控制，部分患者视力可改善。
목적：탐토청광안인류벌식입술후백내장적치료。방법대7례7안청광안인류벌식입술후백내장수수술치료적환자，근거안압、전절OCT등정황분별채용백내장낭외적제(ECCE)、백내장초성유화(Phaco)、연합혹불연합전단파리체절제，결합시공능정황식입혹불식입인공정체(IOL)，부분환자행방각분리술。결과술후환자안압균득이공제，시력제고4안，불변3안。결론대청광안인류벌식입술후백내장수수술치료적환자，근거안압、전절OCT등정황작상응처리，술후환자안압잉가공제，부분환자시력가개선。
Objective To investigate the treatment of cataract after glaucoma drainage valve implantation. Methods After implantation of glaucoma drainage valve, a total of 7 patients (7 eyes), who needed surgical treatment, received extracapsular cataract extraction (ECCE), phacoemulsification (Phaco), and with or without anterior vitrectomy according to conditions of intraocular pressure and anterior segment OCT. Implantation of intraocular lens (IOL) was operated according to visual function. Some of the patients received goniosynechialysis. Results Postoperative intraocular pressure was controlled in all the patients. There were 4 eyes with improved eyesight, and 3 eyes with unchanged eyesight. Conclusion Surgical treatment can be operated on the basis of intraocular pressure and anterior segment OCT of patients who have glaucoma drainage valve implantation. The postoperative intraocular pressure can be controlled, and some patients gain improved eyesight.