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目的:探讨透明角膜切口白内障超声乳化术治疗抗青光眼滤过术后白内障患者的临床疗效。方法:对21例(26眼)小梁切除术后白内障患者,采用透明角膜切口行白内障超声乳化吸出及折叠式人工晶体植入术。结果:此术式不影响原滤过通道且扩大了前房空间,可预防白内障膨胀期晶体膨胀引起的眼压升高。21例(26眼)术后视力均有不同程度提高。结论:该术式对青光眼术后有白内障患者的手术治疗,不失为一种有效的方法,可提高视力,预防眼压升高,并保持滤过泡的功能。
Objective: To investigate the clinical effect of clear corneal incision cataract phacoemulsification in the treatment of glaucoma after cataract surgery. Methods: Twenty-one eyes (26 eyes) with cataract after trabeculectomy underwent cataract extraction by phacoemulsification and foldable intraocular lens implantation. Results: This operation does not affect the original filtration passage and expands the space of the anterior chamber, which can prevent the intraocular pressure from expanding due to the expansion of the cataract. 21 cases (26 eyes) postoperative visual acuity improved to varying degrees. CONCLUSIONS: This technique is an effective method for the surgical treatment of cataract patients after glaucoma surgery, which can improve the vision, prevent the increase of intraocular pressure and maintain the function of filtering bleb.