Izák M, Hazuchová A, Michalidesová A
Ocná klinika NsP F.D.Roosevelta-Výucbová základna IVZ, Banská Bystrica.
Cesk Slov Oftalmol. 1997 Jun;53(3):174-80.
In a group of 205 implantations of artificial intraocular lenses in 172 patients with glaucoma the authors demonstrate that microsurgery of cataract with implantation, in particular of posterior chamber lenses, has also a permanent hypotonic effect. 155 eyes (75.6%) with primary glaucoma were operated and 50 eyes (24.4%) with secondary glaucoma, 198 times (96.6%) primary implantation was used and 7 times (3.4%) secondary implantation. The highest ratio in the group was formed by extracapsular extractions in 95.0%, intracapsular extractions in 3% and phacoemulsification in 2%. One of the greatest obstacles of microsurgery of cataract in eyes affected with glaucoma is the narrow pupil. The authors give an account of possible solutions of this problem. Vision of 5/10 or better with correction was achieved in 68.8%. The most frequent cause of reduced vision of less than 5/50 was atrophy of the TZN in 11.25% Permanent compensation of intraocular pressure without further treatment was observed in 64.4% during a mean follow-up period of 66.7 months.
在172例青光眼患者的205次人工晶状体植入手术中，作者证明白内障显微手术联合植入术，尤其是后房型人工晶状体植入术，也具有持久的降压作用。其中155只（75.6%）原发性青光眼患眼接受了手术，50只（24.4%）继发性青光眼患眼接受了手术，初次植入198次（96.6%），二次植入7次（3.4%）。该组中比例最高的手术方式为囊外摘除术，占95.0%，囊内摘除术占3%，超声乳化术占2%。青光眼患眼中白内障显微手术的最大障碍之一是瞳孔狭窄。作者阐述了该问题的可能解决方法。矫正视力达到5/10或更好的比例为68.8%。视力低于5/50的最常见原因是视乳头萎缩，占11.25%。在平均66.7个月的随访期内，64.4%的患者眼压得到永久性代偿，无需进一步治疗。
