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目的 :探讨晶状体脱位继发青光眼的手术方法及其治疗效果。方法 :对晶状体脱位继发青光眼 3 2例 ( 3 4只眼 ) ,根据不同原因及晶状体脱位状态不同 ,采取晶状体摘除加前段玻璃体切除术 ,小梁切除术 ,晶状体摘除及前段玻璃体切除联合小梁切除术 ,有 8只眼植入前房型人工晶状体。结果 :术后视力提高 18只眼 ,保持不变 16只眼。术后 6个月眼压全部控制 ,最低 12mmHg( 1mmHg =0 13 3kPa) ,最高 2 4mmHg。结论 :根据不同病因和晶状体不同的脱位状态选择不同的手术方式 ,能有效地治愈由晶状体脱位而继发的青光眼
Objective: To investigate the surgical treatment of secondary glaucoma with lens dislocation and its therapeutic effect. Methods: 32 cases (34 eyes) of secondary glaucoma with dislocation of the lens were treated with phacoemulsification and anterior vitrectomy, trabeculectomy, phacoemulsification and anterior vitrectomy combined with trabeculae according to different causes and different states of dislocation. Resection, 8 eyes implanted anterior chamber intraocular lens. Results: Postoperative visual acuity improved in 18 eyes, unchanged in 16 eyes. Intraocular pressure was controlled at 6 months after operation, with the lowest 12 mmHg (1 mmHg = 0 13 3 kPa) and the highest 24 mmHg. Conclusion: According to different etiology and different dislocation of lens, different surgical methods can be selected to effectively cure glaucoma secondary to dislocation of lens