白内障摘除术作为治疗滤过术后低眼压性黄斑病变的一种手段。
Cataract extraction as a means of treating postfiltration hypotony maculopathy.
作者信息
Sibayan S A, Igarashi S, Kasahara N, Montenegro M H, Simmons R J, Simmons R B, Smith T J
机构信息
New England Glaucoma Research Foundation-Schepens Eye Research Institute, Boston, MA, USA.
出版信息
Ophthalmic Surg Lasers. 1997 Mar;28(3):241-3.
Hypotony maculopathy may arise after glaucoma filtering surgery. This can be treated by inducing inflammation and scarring within the filter, with the aim of increasing intraocular pressure (IOP) and promoting resolution of maculopathy. Cataract extraction can promote such inflammation. Phacoemulsification with posterior chamber intraocular lens (PC IOL) implantation was performed in two consecutive patients with postfiltration hypotony maculopathy and preexisting cataracts. After cataract extraction, improvement of IOP, visual acuity, maculopathy, and metamorphopsia occurred in both patients. Cataract extraction can be beneficial in the management of postfiltration hypotony maculopathy.
低眼压性黄斑病变可能发生在青光眼滤过手术后。这可以通过诱导滤过区内的炎症和瘢痕形成来治疗，目的是提高眼压（IOP）并促进黄斑病变的消退。白内障摘除可以促进这种炎症。对两名连续性患有滤过术后低眼压性黄斑病变且已有白内障的患者进行了超声乳化联合后房型人工晶状体（PC IOL）植入术。白内障摘除术后，两名患者的眼压、视力、黄斑病变和视物变形均有改善。白内障摘除术在滤过术后低眼压性黄斑病变的治疗中可能有益。
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