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目的探讨抗青光眼术后手法小切口白内障术的疗效。方法对18例(22眼)抗青光眼术后的白内障行手法小切口白内障摘除+人工晶体植入术,术后随访3～24个月,观察视力、滤过泡、眼压、并发症的情况。结果 20眼(90.9%)视力有不同程度的提高,2眼视力无提高;视力低于0.05的2眼(9.1%),0.05～0.3的7眼(31.8%),0.3～1.0的13眼(59.1%)。结论青光眼术后的白内障行手法小切口摘除+人工晶体植入术并发症少,可以提高视力,不影响原有的滤过泡。
Objective To investigate the effect of small incision cataract surgery after glaucoma surgery. Methods Small incision cataract extraction and intraocular lens implantation were performed in 18 eyes (22 eyes) after anti-glaucoma surgery. The patients were followed up for 3 to 24 months. Visual acuity, filtration bleb, intraocular pressure and complications were observed . Results The visual acuity was improved in 20 eyes (90.9%) and no visual acuity in 2 eyes. The visual acuity was lower in 2 eyes (9.1%) than in 0.05, in 7 eyes (0.05%), in 7 eyes (0.3% 59.1%). Conclusions Glaucoma surgery after cataract surgery small incision + intraocular lens implantation less complications, can improve visual acuity, does not affect the original filtration bleb.