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目的 :探讨青光眼滤过术后白内障囊外摘除联合人工晶状体植入术的最佳方法。方法 :设计“双切口法”对 2 2例(2 2只眼 )青光眼滤过术后的白内障患者行白内障囊外摘除联合人工晶状体植入术。结果 :术后患者视力有不同程度提高 ,术前术后视力行统计学分析卡方检验P <0 0 0 1,差异有显著性。术中无玻璃体脱出和眼内出血。术后并发症有虹膜后粘连 5例 ,瞳孔不圆 7例 ,术后早期一过性眼压升高 5例。随访半年至三年半 ,术后眼压控制良好。结论 :“双切口法”操作方便 ,对原滤过功能影响小 ,是青光眼滤过术后白内障囊外摘除联合人工晶状体植入术的最佳选择切口 ,尤其适合多次滤过术后的白内障手术
Objective: To explore the best method of extracapsular cataract extraction combined with intraocular lens implantation after glaucoma filtration surgery. Methods: A double incision method was designed for cataract extraction combined with intraocular lens implantation in cataract patients after glaucoma filtration in 22 patients (22 eyes). Results: The postoperative visual acuity increased to some extent. The preoperative and postoperative visual acuity was analyzed by Chi-square test P <0.01, the difference was significant. Intraoperative vitreous prolapse and intraocular hemorrhage. Postoperative complications of posterior iridia adhesions in 5 cases, 7 cases of non-pupil, early postoperative transient elevated intraocular pressure in 5 cases. Follow-up six months to three and a half, postoperative intraocular pressure well-controlled. Conclusion: The double incision method is easy to operate and has little effect on the original filtration function. It is the best choice for extracapsular cataract extraction combined with intraocular lens implantation after glaucoma filtration surgery. It is especially suitable for cataract after multifiltration surgery