关键词: 青光眼, 白内障, 超声乳化白内障吸除术

Abstract:

Objective〓〖WTBZ〗To explore the clinical effect of phacoemulsification with foldable lens implantation through a clear corneal incision in treatment of secondary glaucoma due to intumescent cataract.　〖WTHZ〗Methods〓〖WTBZ〗The clinical data of 34 cases (41 eyes) of secondary glaucoma due to intumescent cataract admitted to our hospital from June 2003 to March 2007 were retrospectively analyzed. Of them, 34 eyes whose intraocular pressure (IOP) was controlled by drugs underwent delayed phacoemulsifications with foldable IOL implantations through clear corneal incisions, and 7 eyes whose high IOP was not controlled underwent emergent operations. The IOP, best corrected eye vision (BCVA), depth of the anterior chamber (AC) and width of the AC were determined before and after the operations. Patients were followed up from 2 months to 3 years. [WTHZ]Results〓〖WTBZ〗All patients were successfully operated on without severe complications, the mean BCVA was significantly increased after the operations,［0.40±0.21 vs 0.15±0.09(P＜0 01)］, the mean IOP was significantly decreased after the operations ［(14.2±4.03)mmHg vs （32.36±6.83)mmHg (P＜0.01)］, the depth of AC significantly increased after the operations ［(2.48±0.37)mm vs (1.14±0.38)mm (P＜0.01)］, and the angles of AC became wider after the operations. 2 eyes were given anti-glaucoma drugs to decrease the IOP six months after the operations. 〖WTHZ〗Conclusion〓〖WTBZ〗Phacoemulsification with foldable lens implantation through a clear corneal incision is an effective means for secondary glaucoma due to intumescent cataract.

Key words: Cataract, Phacoemulsification, laucoma