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目的 :评价青光眼滤过术后白内障超声乳化吸除联合折叠式人工晶状体植入的疗效。方法 :对 18只青光眼滤过术后白内障眼采用 3 5mm的隧道切口行白内障超声乳化吸除联合折叠式人工晶状体植入 ,术后切口不缝合。随访 3～ 30个月 ,观察术后视力 ,角膜散光及眼压等情况。结果 :18只眼术后视力均较术前提高 ,其中 :0 0 2者 1只眼 (0 0 6 % ) ,0 0 5～ 0 2者 2只眼 (11 1% ) ,0 3～ 0 4者 5只眼 (2 7 8% ) ,0 5～ 0 9者 7只眼 (38 9% ) ,1 0～ 1 2者 3只眼 (16 7% )。术前角膜散光(0 78± 0 88)D ,术后 1周 ,1个月 ,3个月角膜散光分别为 (0 89± 0 80 )D ,(0 75± 0 82 )D ,(0 72± 0 78)D ,与术前相比P >0 0 5 (t检验 ) ,差异无显著性 ,术前眼压为 (2 13± 0 34)kPa ,术后 1个月眼压为 (2 2 0± 0 2 3)kPa ,与术前相比P >0 0 5 (t检验 ) ,差异无显著性。结论 :对于青光眼滤过术后白内障采用超声乳化吸除联合折叠式人工晶状体植入可较易避开滤过泡 ,术后反应轻。角膜散光无明显改变 ,患者术后视功能改善且不影响眼压的控制 ,手术安全可靠
Objective: To evaluate the efficacy of phacoemulsification combined with foldable intraocular lens implantation after glaucoma filtration surgery. Methods: Cataract phacoemulsification combined with foldable intraocular lens implantation was performed in 18 eyes of cataract treated with glaucoma filtration. The incision was not sutured after incision. All patients were followed up for 3 to 30 months. Visual acuity, corneal astigmatism and intraocular pressure were observed. Results: The visual acuity of the 18 eyes was significantly higher than that of the preoperation, including 0 eyes with 0 0 2 eyes, eyes with 0 0 0 ~ 0 eyes (11 1%), 0 3 ~ 0 eyes 4 eyes (27.8%), 7 eyes (0 ~ 0 ~ 9), 3 eyes (16 7%) of 10 ~ 12 eyes. Preoperative corneal astigmatism (0 78 ± 0 88) D, postoperative 1 week, 1 month and 3 months corneal astigmatism were (0 89 ± 0 80) D, (0 75 ± 0 82) D, (0 72 ± 0 78) D, compared with the preoperative P> 0.05 (t test), the difference was not significant, preoperative IOP was (2 13 ± 0 34) kPa, 1 month after IOP was (2 2 0 ± 0 2 3) kPa, compared with preoperative P> 0 0 5 (t test), the difference was not significant. CONCLUSIONS: For cataracts after glaucoma filtration surgery, phacoemulsification combined with foldable intraocular lens implantation can be more easily avoided by filtering bleb, and the postoperative reaction is light. No significant changes in corneal astigmatism, patients with improved visual function and does not affect the control of intraocular pressure, safe and reliable operation