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目的 探讨晶状体溶解性青光眼的诊断及治疗。方法 对临床确诊为晶状体溶解性青光眼并施以现代白内障囊外摘除术或联合后房型人工晶状体植入术的 9例 (9只眼 )患者的临床资料进行回顾性分析 ,对其临床特点、治疗、预后及预防等方面进行讨论。结果 全部病例手术后眼压控制在正常范围内 ,视力均有明显提高 ,随访半年疗效满意。结论 根据临床典型的表现可作出确诊 ;对不典型或可疑的病例可抽取房水做细胞学检查、测房水中重分子可溶性晶状体蛋白含量可协助诊断。采用现代白内障囊外摘除术或联合后房型人工晶状体植入术治疗本病是一种安全、有效方法。白内障成熟期前进行手术是预防此病发生的唯一有效手段
Objective To investigate the diagnosis and treatment of crystalline lytic glaucoma. Methods The clinical data of 9 patients (9 eyes) with clinically diagnosed as lymphatic glaucoma undergoing extracapsular cataract extraction or posterior chamber intraocular lens implantation were retrospectively analyzed. The clinical features, treatment , Prognosis and prevention and other aspects of the discussion. Results All cases of intraocular pressure after surgery control in the normal range, visual acuity were significantly improved, follow-up six months of satisfactory results. Conclusions According to the typical clinical manifestations can be diagnosed; for atypical or suspicious cases can be extracted atrioventricular cytological examination, the water quality of soluble protein content in the water can help diagnose. The use of modern extracapsular cataract extraction combined with posterior chamber intraocular lens implantation for the treatment of the disease is a safe and effective method. Cataract surgery before maturity is the only effective way to prevent the occurrence of the disease