玻璃体腔内超声乳化治疗晶状体全脱位所致青光眼的疗效观察.docVIP

　　玻璃体腔内超声乳化治疗晶状体全脱位所致青光眼的疗效观察 【摘要】 目的：评价玻璃体腔内超声乳化联合玻璃体切除治疗晶状体全脱位所致青光眼的疗效。方法：选取2007?11/2010?03对16例16眼因眼钝挫伤或白内障摘除术中后囊破裂晶状体核全脱位于玻璃体腔导致眼压升高的患者，采用标准睫状体扁平部闭合式三切口，先行全玻璃体切除术，再采用去硅胶袖套的超声乳化头乳化摘除脱位的晶状体，术后观察视力、眼压、视网膜、巩膜伤口等恢复情况。结果：所有晶状体均成功摘除，没有发生严重的并发症。视网膜、巩膜伤口无明显损害。术后视力提高到指数/眼前者2眼，0.1～0.3者7眼，gt;0.3者5眼，其余2眼保持不变。术后眼压15～20mmHg者14眼，gt;21mmHg者2眼，经滴降眼压眼液后，眼压降至lt;20mmHg。结论：玻璃体腔内超声乳化联合玻璃体切除治疗晶状体全脱位所致青光眼，具有眼内组织损伤小，方便，快捷，不需要应用重水的特点。超声乳化头完全可以代替超声粉碎头用于晶状体脱位于玻璃体腔的治疗。 【关键词】 晶状体脱位;超声乳化;玻璃体切除;青光眼 　Removal dislocated lenses in vitreous cavity by intravitreal phacoemulsification 　　Da?Ling Xu, Yan Chen, Ming Huo 　　Department of Ophthalmology, Yichang Central People?s Hospital, Yichang 443003, Hubei Province, China 　　Correspondence to: Yan Chen. Department of Ophthalmology, Yichang Central People?s Hospital, Yichang 443003, Hubei Province, China. chenyanookyahoo.. 　　Received:2010?07?15 Accepted:2010?08?16 　　Abstract 　　?AIM: To evaluate the effect of treating the glaua ulsification replacing phacofragmentation ove the dislocated lens in vitreous cavity. 　　?METHODS: Betber 2007 and March 2010, a series glauatous cases of 16 patients 16 eyes a or cataract surgery y bined ulsification devoid of the silicone sleeve ove dislo?cation of the lens. The main oute measures oved. There ent, retinal hemorrh?age and sclera burning. No plications occurred during phacoemulsification. After operation, Visual acuity ore than 0.3 in 5 eyes and mHg in 14 eyes and loormal range in another tedical drops. 　　?CONCLUSION: The conventional phacoemulsification probe devoid of the silicone sleeve can be used to remove the dislocaed lens of vitreous cavity in vitrectomy surgery. This technique has minor injury, convenience and short time and doesnt need the perfluorocarbon injection. It is preferred to treat the glaua due to the dislocation of lens. 　　?KEY. Removal dislocated lenses in vitreous cavity by intravitreal phacoemulsification. Int J Ophthalmol(Guoji 　　Yanke Zazhi) 2010;10(9):1763?1764 　因眼外伤或白内障手术中后囊破裂导致晶状体全脱位于玻璃体很常