Peräsalo R
Department of Ophthalmology, Laakso, Helsinki Municipal Hospital, Finland.
Acta Ophthalmol Scand. 1997 Jun;75(3):299-300. doi: 10.1111/j.1600-0420.1997.tb00778.x.
This study was conducted to determine how phaco-emulsification and intraocular lens (IOL) implantation influenced intraocular pressure (IOP) in eyes with glaucoma, and glaucoma medication requirements postoperatively. A retrospective clinical analysis was undertaken of 226 eyes of 182 glaucoma patients who had undergone phacoemulsification and IOL implantation. IOP on the first day after operation increased from a preoperative mean of 17.1 mmHg (SD +/- 3.9 mmHg) to a mean of 20.7 mmHg (SD +/- 9.0 mmHg). One week after operation the average IOP was 17.4 mmHg (SD +/- 5.5 mmHg). One year after operation the average IOP had declined to 15.3 mmHg (SD +/- 3.1 mmHg). One year after operation 34% of the patients did not need glaucoma medication. If glaucoma is fairly well controlled (mean IOP preoperative 17.1 mmHg) phaco-emulsification alone can result in satisfactory IOP control in eyes with capsular and primary open-angle glaucoma.
本研究旨在确定超声乳化白内障吸除术和人工晶状体（IOL）植入术如何影响青光眼患者的眼压（IOP）以及术后青光眼药物的需求。对182例接受超声乳化白内障吸除术和IOL植入术的青光眼患者的226只眼睛进行了回顾性临床分析。术后第一天眼压从术前平均17.1 mmHg（标准差±3.9 mmHg）升至平均20.7 mmHg（标准差±9.0 mmHg）。术后一周平均眼压为17.4 mmHg（标准差±5.5 mmHg）。术后一年平均眼压降至15.3 mmHg（标准差±3.1 mmHg）。术后一年，34%的患者不再需要使用青光眼药物。如果青光眼得到较好控制（术前平均眼压17.1 mmHg），对于合并晶状体囊膜病变和原发性开角型青光眼的患者，单纯超声乳化白内障吸除术即可实现令人满意的眼压控制。
