小切口白内障摘除治疗膨胀期白内障继发青光眼31例疗效观察

Small incision cataract extraction for treatment of secondary glaucoma due to intumescent cataract: report of 31 cases

摘要: 目的:观察小切口白内障摘除治疗膨胀期白内障继发青光眼的临床疗效。方法:对31例(31眼)老年性白内障膨胀期继发急性青光眼患者实施小切口白内障囊外摘除联合人工晶状体植入术,术后随访3~12个月。结果:矫正视力>0.5者17眼,0.05~0.5 12眼,<0.05 2眼。术后27眼眼压正常,4眼药物稳定眼压。结论:小切口白内障摘除对老年性白内障膨胀期继发青光眼患者临床疗效良好。

Abstract: Objective: To study the effects of small incision extracapsular cataract extraction (ECCE) on secondary glaucoma caused by intumescent cataract.Methods: Thirty-one cases (31 eyes) with secondary acute glaucoma due to senile intumescent cataract were performed small incision ECCE and intraocular lens implantation (IOL).All the cases were followed up for 3-12 months.Results: The corrected visualacuity of 17 eyes reached 0.5,12 eyes 0.05-0.5 and 2 eyes were below 0.05.Twenty-seven eyes had normal IOP after the operation and 4 eyes were kept normal IOP by intervention of medicine.Conclusions: The clinical results show that small incision ECCE is effective on patients with secondary glaucoma caused by intumescent cataract.