关键词: 葡萄膜炎；继发青光眼；白内障；超声乳化白内障吸除术；抗青光眼手术

Abstract:

Objective     To investigate the efficacy of combination of phacoemulsification and anti-glaucoma surgeries (including trabeculectomy and periphery iridectomy) for secondary glaucoma  - in uveitis with cataract. Methods    The clinical data and related ocular manifestation in 28 patients (32 eyes) with secondary glaucoma in uveitis with cataract in our hospital from January 2007 to January 2009 were retrospectively analyzed. Paired t-test was used to compare the changes of the vision and intraocular pressure (IOP). Results     The visual acuity was improved in 30 eyes (93.75%) after operation. The IOP was normal in 25 eyes (78.13%) one week after operation. 7 eyes (29.91%) had antiglaucoma medical treatment, and 2 eye (6.25%) had a secondary operation because their IOPs were still higher than 22mmHg one month after operation.  The visual acuity was significantly higher and the IOP was significantly lower one week and 12months after operation compared with those before operation (all P<0.01). Conclusions     Combination of phacoemulsification and anti-glaucoma surgeries can improve visual acuity and reduce IOP for secondary glaucoma in uveitis with cataract.

Key words: Uveitis; Secondary glaucoma; Cataract; Phacoemulsification; Anti-glaucoma surgery