JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (5): 79-81.doi: 10.6040/j.issn.1673-3770.0.2014.126

Previous Articles     Next Articles

Clinical analysis of 7 patients with phacolytic glaucoma treated by phacoemulsification

YAN Shi-long, YANG Ming, HU Zun-xia, LIU Zhi-gao, LI Jing-hai   

  1. Department of Ophthalmology, Jinan Aier Ophthalmology Hospital, Jinan 250100, Shandong, China
  • Received:2014-04-21 Published:2014-10-16

Abstract: Objective To explore the clinical characteristics and treatment method of cataract blindness screening crystal solubility in glaucoma. Methods The clinical data of 7 cases diagnosed as crystal solubility glaucoma were retrospectively analyzed. Admitted to hospital after diagnosis, they were given phacoemulsification to remove the lens. Results There were crystals dissolve glaucoma in 4 cases, uveitis secondary glaucoma in 2 cases, and age-related cataract overmature in 1 case which had specialized examination after hence dissolved lens membrane rupture cortex. 6 cases had their postoperative intraocular pressure decreased to normal in 1 day, 1 case had the postoperative intraocular pressure decreased to 30 to 42 mmHg in 3 days and had it gradually be back to normal after repeated anterior chamber fluid and drug treatment in 2 weeks. Followed up in 3 months, visions were all increased. Conclusion Crystal solubility in glaucoma patients is difficult to be diagnosed. Anterior chamber irrigation after cataract extraction is the effective way for crystals dissolve glaucoma. There are still more patients with cataract overmature period in the backward area.

Key words: Phacolytic glaucoma, Cataract, Crystal dissolution

CLC Number: 

  • R775
[1] 周文炳.临床青光眼[M].2版.北京:人民卫生出版社,2000:231-231.
[2] 张春燕,郑慧君,李爽,等.晶体溶解性青光眼综合治疗的疗效观察[J].中国实用眼科杂志,2009,27(11):1293-1295. ZHANG Chunyan, ZHENG Huijun, LI Shuang, et al. Curative effect of comprehensive treatment of phacolytic glaucoma[J]. Chin Ophthalmol J, 2009, 27(11):1293-1295.
[3] 赵洪甫,张林凡.晶状体溶解性青光眼24例临床分析[J].眼外伤职业病杂志,1999,21(4):361. ZHAO Hongfu, ZHANG Linfan. Analysis of 21 cases of phacolytic glaucoma[J]. Ocular Trauma Occu Dis, 1999, 21(4):361.
[4] 王育红,吴作红,喻长泰.晶状体溶解性青光眼白内障术后持续高眼压一例[J].中国实用眼科杂志,2009,27(6):676. WANG Yuhong, WU Zuohong, YU Changtai. Phacolytic glaucoma after cataract surgery for 1 case of ocular hypertension[J]. Chin Prac Ophthalmol, 2009, 27(6):676.
[5] 秦毅,吴震.晶体溶解性青光眼临床分析[J].眼科研究,2001,19(5):415. QIN Yi, WU Zhen. Clinical analysis of phacolytic glaucoma[J]. Ophthalmol, 2001, 19(5):415.
[1] ZHENG Wanqiu, WAN Wenjuan, LI Can. Application of anterior chamber maintainer in posterior capsular rupture in cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 9-12.
[2] WEI Chao, ZHANG Han. Multifocal intraocular lens: progress in clinical application. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 29-35.
[3] BI Hongsheng. Design of treatment protocol in refractive cataract surgery is important for postoperative visual outcomes. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 1-4.
[4] YANG Yuhuan, ZHANG Jie, ZHANG Jinpeng, YAN Hong. Effects of mydriasis on anterior chamber parameters measured by a Pentacam before and after cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 5-8.
[5] TIAN Jing, LIAO Xuan, LAN Changjun, TAN Qingqing, LIN Jia, WEN Baiwei. Comparison of high order aberrations in pseudophakia with spherical intraocular lens and aspheric intraocular lens implantation. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 13-17.
[6] JI Shuaifei, ZHANG Jie, YAN Hong. Selection of intraocular lens for patients with age-related macular degeneration. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 36-39.
[7] LIU Lu, LIANG Hao. Distribution of corneal astigmatism among middle aged and senior citizens with cataract. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 75-77.
[8] DENG Zhifeng. The clinical study on the improved phacoemulsification. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 85-88.
[9] LIN Li, YANG Xu. Analysis on efficacy of treatment of corneal epithelial dysfunction after cataract surgery. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 84-86.
[10] LIU Zhao, WU Changrui, GAO Ning. Evaluation of meibomian gland dysfunction after phacoemulsification surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 68-70.
[11] LIU Zhi-gao, YAN Shi-long, HU Zun-xia, SUN Tong-xin, YANG Ming, WANG Yu. Prevalence investigation on rural cataract patients with diabetes and diabetes retinal fundus lesions in Jinan city of Shandong province [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 38-39.
[12] ZHU Zi-cheng, WEN Yue-chun, WU Zhang-you, KE Gen-jie. Effects of different intraocular lens on macula area of high myopia associated with cataract [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(1): 40-43.
[13] SUN Hong-yi, ZHANG Han. Changes of macular thickness under optical coherent tomography in type 2 diabetic patients with cataract after phacoemulsification surgery and IOL implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 72-76.
[14] ZHANG Ai-hui1, ZHU Ling1, ZHANG Jin-zhi1, ZHANG Wei2. Correlation between cataract phacoemulsification with intraocular lens implantation and age-related macular degeneration [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 77-83.
[15] SHI Shao-dan1, LIU Jing2, ZHANG Wei2, ZHANG Han2. Systematic review of surgical treatment for primary angle-closure glaucoma accompanied with Cataract [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 84-90.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!