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目的观察青光眼滤过术后经角膜缘切口的白内障超声乳化人工晶体植入术的疗效。方法对38例38眼青光眼滤过术后白内障患者行滤过泡旁角膜缘切口白内障超声乳化人工晶体植入术,观察术中术后并发症、视力、眼压、滤过泡情况。结果术后随访3～6个月,术后视力≥0.5者13眼(34%),0.3～0.5者21眼(55%),≤0.3者4眼(11%)。术后眼压均在正常范围(11.23～20.15 mm Hg)。功能性滤过泡无瘢痕化,38只眼全部植入人工晶体,术中无一例后囊膜破裂、眼内出血等并发症。角膜水肿、虹膜反应是术后主要并发症。结论滤过泡旁角膜缘切口白内障超声乳化术安全有效。
Objective To observe the effect of phacoemulsification and intraocular lens implantation through corneal incision after glaucoma filtration. Methods Thirty-eight eyes (38 eyes) with cataract after filtering glaucoma were treated with phacoemulsification and intraocular lens implantation. The postoperative complications, visual acuity, intraocular pressure and filtration bleb were observed. Results The patients were followed up for 3 to 6 months. There were 13 eyes (34%) with visual acuity ≥ 0.5, 21 eyes (55%) with 0.3 ~ 0.5, and 4 eyes (11%) ≤ 0.3. Postoperative IOP were in the normal range (11.23 ~ 20.15 mm Hg). Functional filtration bleb scarless, all 38 eyes implanted intraocular lens, intraoperative no rupture of posterior capsule, intraocular hemorrhage and other complications. Corneal edema, iris reaction is the main complication after surgery. Conclusion Filtering parafollicular limbal incision cataract phacoemulsification is safe and effective.