Matsumura M, Mizoguchi T, Kuroda S, Terauchi H, Nagata M
Nagata Eye Clinic, Japan.
Nippon Ganka Gakkai Zasshi. 1996 Nov;100(11):885-9.
Phacoemulsification-aspiration and intraocular lens implantation (PEA + IOL) were carried out in 40 primary open angle glaucoma (POAG) eyes without history of surgery and 53 control (cataract only) eyes. Postoperative change in intraocular pressure (IOP) was evaluated over a long period (at least 18 months, average follow-up period 34 months). The postoperative IOP was significantly lower than the preoperative level in every group from 6 months to 3 years. An IOP decrease of 1.5 mmHg was maintained for 3 years in the control group. A decrease of 2.5 mmHg was stable for 3 years in the good POAG group in which preoperative IOP was controlled (< or = 20 mmHg) with medication. IOP decrease in the poor POAG group in which preoperative IOP was over 21 mmHg with medication, was 5.5 mmHg, and was maintained for 3 years. Medication did not differ significantly before or after the operation. These results imply that in POAG an IOP decrease can be expected after PEA + IOL.
对40只无手术史的原发性开角型青光眼（POAG）眼和53只对照眼（仅患有白内障）进行了超声乳化吸除联合人工晶状体植入术（PEA + IOL）。在较长时间内（至少18个月，平均随访期34个月）评估术后眼压（IOP）的变化。从术后6个月至3年，每组的术后眼压均显著低于术前水平。对照组眼压降低1.5 mmHg持续了3年。术前眼压用药物控制在（≤20 mmHg）的良好POAG组中，眼压降低2.5 mmHg持续稳定了3年。术前眼压用药物控制超过21 mmHg的不良POAG组，眼压降低了5.5 mmHg，并持续了3年。手术前后用药情况无显著差异。这些结果表明，对于POAG患者，PEA + IOL术后眼压有望降低。
