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目的 :初步评价白内障超声乳化摘除联合人工晶体植入术治疗合并有葡萄膜炎引起的继发性青光眼和并发性白内障的疗效。方法 :对 13例 (15眼 )同时患有葡萄膜炎、继发性青光眼和并发性白内障的患者行连续环形撕囊的白内障超声乳化摘除联合人工晶体植入术 ,观察术后并发症、眼压和视力的变化情况。结果 :所有患者术中、术后都没有出现严重的并发症 ;术后 3个月的视力平均为 0 .34± 0 .19,明显好于术前 0 .0 5± 0 .0 7(P<0 .0 5 ) ;术后 3个月眼压和使用抗青光眼药物的种类分别为 2 .0 3± 0 .31k Pa(15 .2 1± 2 .36 mm Hg)和 0 .83± 0 .32种 ,较手术前的2 .33± 0 .14k Pa(17.5± 1.0 3mm Hg)和 2 .7± 0 .2 1种减少 (P<0 .0 5 )。结论 :白内障超声乳化摘除联合人工晶体植入术是治疗葡萄膜炎引起的继发性青光眼和并发性白内障的又一种新的理想的选择
Objective: To evaluate the efficacy of phacoemulsification combined with intraocular lens implantation in the treatment of secondary glaucoma and complicated cataract caused by uveitis. Methods: Thirteen patients (15 eyes) with uveitis, secondary glaucoma and complicated cataract were treated with phacoemulsification and intraocular lens implantation. The complications, Pressure and visual changes. Results: All the patients had no serious intraoperative and postoperative complications. The average visual acuity at 3 months after operation was 0.34 ± 0.19, which was significantly better than that before operation (P> 0.05) <0. 05). The intraocular pressure and anti-glaucoma medication at 3 months after operation were 2.03 ± 0.31k Pa (15.21 ± 2.36 mm Hg) and 0.83 ± 0 .32 species, which were significantly lower than those before surgery (2.33 ± 0.14k Pa (17.5 ± 1.0 3mm Hg) and 2.7 ± 0.21 (P <0.05). Conclusions: Cataract phacoemulsification combined with intraocular lens implantation is another new and ideal choice for the treatment of secondary glaucoma and complicated cataract caused by uveitis