联合手术治疗晶状体半脱位继发青光眼的一年效果

发布时间：2018-09-11 18:36

【摘要】：目的分析以白内障摘除联合人工晶状体(IOL)、张力环植入为主要手术方式的联合手术治疗晶状体半脱位继发青光眼的疗效。设计回顾性病例系列。研究对象2011年7月至2013年9月北京同仁眼科中心年龄(62.3±6.9)岁的晶状体半脱位继发青光眼患者12例。方法回顾患者手术前后的病历资料。所有患者均囊袋内植入IOL,超声乳化白内障摘除11例,白内障囊外摘除1例,张力环植入6例,联合黏弹剂房角分离7例,联合小梁切除术5例,联合术中经巩膜睫状体光凝1例,术中玻璃体水囊抽吸4例。术后平均随访(13.3±10.0)个月。主要指标视力、眼压、并发症。结果最后一次随访时,8/12例患者视力提高,平均提高(4.9±2.8)行;3/12例视力同术前。全部患者在未使用降眼压药物情况下眼压控制在21 mm Hg以下。术中、术后无严重并发症发生。结论本文的小样本量短期回顾性研究结果显示,以白内障摘除IOL植入联合张力环植入为主的联合手术是治疗晶状体半脱位继发青光眼的安全有效方法。
[Abstract]:Objective To evaluate the efficacy of cataract extraction combined with intraocular lens (IOL) implantation and tension ring implantation in the treatment of secondary glaucoma with subluxation of lens. Methods The clinical data of 12 patients before and after operation were reviewed.All patients underwent IOL implantation in capsule bag,phacoemulsification in 11 cases,extracapsular cataract in 1 case,tension ring implantation in 6 cases,combined viscoelastic angle separation in 7 cases,combined trabeculectomy in 5 cases,combined intraoperative transscleral cyclophotocoagulation in 1 case,intraoperative vitreous water capsule extraction in 1 case. Results At the last follow-up, 8/12 of the patients had improved visual acuity (4.9+2.8) on average, and 3/12 had the same visual acuity as before. All the patients had intraocular pressure below 21 mm Hg without antihypertensive drugs. Conclusion The results of this short-term retrospective study show that IOL implantation combined with tension ring implantation is a safe and effective method for secondary glaucoma with lens subluxation.
【作者单位】：首都医科大学附属北京同仁医院北京同仁眼科中心眼科学与视觉科学北京市重点实验室;
【分类号】：R779.6

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