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目的探讨青光眼滤过手术后白内障手术方法、手术技巧及临床效果。方法对2003年1月—2009年12月完成的青光眼滤过术后白内障手术进行回顾性分析。结果观察术后视力、眼压、滤过泡的形态。结果术后随访3～33个月,视力均有不同程度提高,术后7眼出现一过性高眼压,角膜散光(术后3mo)0.83±0.89,术中虹膜损伤8眼,前房积血1眼,术后角膜水肿30眼,前房闪辉(+)78眼,前房闪辉(++)16眼,前房闪辉(+++)9眼,术后葡萄膜炎者8眼,经治疗无严重并发症。结论青光眼滤过手术后白内障行白内障超声乳化手术,效果良好,术中对角膜内皮、功能性滤过泡的保护,防止虹膜损伤,术后加强抗炎治疗是保证手术安全的关键。
Objective To investigate the surgical methods, surgical techniques and clinical effects of cataract after glaucoma filtration surgery. Methods A retrospective analysis of cataract surgery after glaucoma filtration surgery completed from January 2003 to December 2009 was performed. Results Postoperative visual acuity, intraocular pressure, filtered bleb morphology. Results All the patients were followed up for 3 ~ 33 months. Visual acuity was improved to some extent. Postoperative ocular hypertension, corneal astigmatism (3 months postoperatively, 0.83 ± 0.89), intraocular iris injury (8 eyes), anterior chamber product Blood in 1 eye, postoperative corneal edema in 30 eyes, anterior chamber glistening (+) 78 eyes, anterior chamber glistening (++) 16 eyes, anterior chamber glory (+++) 9 eyes, postoperative uveitis 8 eyes, no serious complications after treatment. Conclusions Cataract phacoemulsification after glaucoma filtration surgery is effective. The intracorneal protection of corneal endothelium and functional filtration bleb prevents iris injury. Postoperative anti-inflammatory treatment is the key to ensure surgical safety.