Rozsíval P, Liehneová I
Ocí klinika Masarykovy nemocnice, Ustí nad Labem.
Cesk Oftalmol. 1993 Apr;49(2):81-9.
The authors evaluate the results of operations of cataract with implantation of an intraocular lens in glaucoma patients operated in 1989-1991 at the ophthalmological clinic of the Masaryk Hospital in Ustí n. Labem. The group comprised 57 patients, 64 eyes were operated. In 56 eyes ECCE with implantation of IOL was performed, in seven eyes a combined operation with trabeculectomy and in one instance a secondary implantation. The most frequent complication of operations was rupture of the posterior capsule 5 times (7.8%), possibly with loss of the vitreous body 5 times (7.8%). The most frequent early postoperative complication was a fibrinous reaction in the anterior chamber (31.2%). Vision in all patients before operation was 6/60 or poorer. On discharge it was in 48.4% 0.33 or better, 6 months after operation it was in 68.8% eyes 6/18 or better. The intraocular pressure was compensated before operation in 47 eyes (73.4%), decompensated in 7 eyes (10.9%) which corresponds to the number of combined operations. Antiglaucomatous medication after surgery -3 eyes (4.7%) had more medication, 11 eyes (17.2%) had less medication, 39 eyes (60.9%) had the same amount of medication and 11 eyes (17.2%) were without therapy.
作者评估了1989年至1991年在乌斯季-纳拉博尔姆市马萨里克医院眼科诊所接受手术的青光眼患者白内障手术联合人工晶状体植入的结果。该组包括57例患者，共64只眼接受了手术。其中56只眼进行了囊外白内障摘除联合人工晶状体植入术，7只眼进行了小梁切除术联合手术，1只眼进行了二期人工晶状体植入。手术最常见的并发症是后囊破裂5次（7.8%），可能伴有玻璃体脱出5次（7.8%）。术后早期最常见的并发症是前房内纤维蛋白反应（31.2%）。所有患者术前视力均为6/60或更差。出院时，48.4%的患者视力为0.33或更好，术后6个月，68.8%的眼视力为6/18或更好。术前47只眼（73.4%）眼压得到控制，7只眼（10.9%）眼压失控，这与联合手术的数量相符。术后抗青光眼药物治疗情况——3只眼（4.7%）用药增多，11只眼（17.2%）用药减少，39只眼（60.9%）用药量相同，11只眼（17.2%）无需治疗。
