Savage J A, Thomas J V, Belcher C D, Simmons R J
Ophthalmology. 1985 Nov;92(11):1506-16. doi: 10.1016/s0161-6420(85)33828-9.
Two hundred ninety-six eyes of 250 patients undergoing extracapsular cataract extraction (ECCE) with or without the implantation of a posterior chamber intraocular lens (PC-IOL) were studied. Pre-existing glaucoma of varying severity was present in 139 eyes and no known ocular pathology other than cataract in 157 eyes. During the first eight weeks following surgery, intraocular pressure elevations greater than or equal to 15 mmHg above baseline were seen in 23% of glaucomatous eyes controlled before surgery with glaucoma medications, in 39% of glaucomatous eyes controlled before surgery with argon laser trabeculoplasty, and in only 3% of nonglaucomatous eyes. The implantation of a PC-IOL did not influence the incidence of postoperative intraocular pressure (IOP) elevations. Among glaucomatous eyes with severe preoperative visual field loss (split fixation or central island less than or equal to 10 degrees), 9.7% had worsening of visual field after surgery. Open angle glaucoma of unclear etiology developed in 1.4% of normal eyes following uncomplicated ECCE with PC-IOL implantation. Surgical techniques the authors have found useful in glaucomatous eyes undergoing ECCE with PC-IOL implantation are discussed.
对250例接受囊外白内障摘除术（ECCE）的患者的296只眼睛进行了研究，这些患者中有或没有植入后房型人工晶状体（PC-IOL）。139只眼睛存在不同严重程度的青光眼，157只眼睛除白内障外无已知眼部病变。在术后的前八周，术前使用青光眼药物控制的青光眼眼中有23%的眼压升高超过或等于基线水平15 mmHg，术前接受氩激光小梁成形术控制的青光眼眼中有39%出现眼压升高，而在非青光眼眼中仅有3%出现眼压升高。植入PC-IOL并未影响术后眼压（IOP）升高的发生率。在术前有严重视野缺损（分离注视或中央岛小于或等于10度）的青光眼眼中，9.7%的患者术后视野恶化。在接受无并发症的ECCE并植入PC-IOL的正常眼中，1.4%发生了病因不明的开角型青光眼。讨论了作者发现的对接受ECCE并植入PC-IOL的青光眼眼有用的手术技术。
