联合超声乳化、内镜睫状体光凝及人工晶状体植入术治疗青光眼。

Ophthalmic surgery Pub Date : 1995-07-01
M Uram
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引用次数: 0

摘要

评价白内障摘出和人工晶状体植入术联合内镜下睫状体光凝治疗青光眼的安全性和有效性。10例未控制开角型青光眼合并白内障患者行超声乳化手术、内镜下睫状体光凝和后房型人工晶状体植入术。平均随访19.2个月,平均眼压(IOP)由术前31.4 mm Hg降至术后13.5 mm Hg,绝对降幅达57%。这对每个病人来说都是一个显著的下降。他们的视力也有所提高。1例患者出现短暂性玻璃体出血,但未发生囊样黄斑水肿或其他明显并发症,所有患者的眼睛都很安静。无晶状体脱位。术后1个月无进展性视野丧失,但有1例患者在治疗1年后出现视野丧失。一半的患者在没有药物治疗的情况下获得了良好的IOP控制。可以得出结论,这种联合手术提供了有效的白内障和青光眼的管理与最小的术后护理。与白内障手术联合滤过术相比,该方法的安全性和有效性仍有待确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combined phacoemulsification, endoscopic ciliary process photocoagulation, and intraocular lens implantation in glaucoma management.

The safety and efficacy of combined cataract extraction and intraocular lens (IOL) implantation with endoscopic ciliary process photocoagulation in glaucoma management was evaluated. Ten patients with uncontrolled open-angle glaucoma and cataract prospectively underwent concomitant phacoemulsification, endoscopic ciliary process photocoagulation, and posterior chamber IOL implantation. With a mean follow up of 19.2 months, the mean intraocular pressure (IOP) decreased from 31.4 mm Hg preoperatively to 13.5 mm Hg postoperatively, an absolute decrease of 57%. This represented a significant decrease for each of the patients. The visual acuity of each also improved. Transient vitreous hemorrhage developed in one patient, but no cystoid macular edema or any other significant complications occurred and all eyes were quiet. There were no lens implant dislocations. There was no progressive visual field loss at 1 month post surgery, but such loss was noted in one patient 1 year after treatment. Good IOP control on no medical therapy was attained in one half of the patients. It may be concluded that this combined procedure provided effective management of cataract and glaucoma with a minimum of postoperative care. The safety and efficacy of this approach as compared with cataract surgery combined with filtration remains to be determined.

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