Lee A F, Lee S M, Chou J C, Liu J H
Department of Ophthalmology, Veterans General Hospital-Taipei, National Yang-Ming University, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1998 Feb;61(2):65-70.
Glaucoma is a well known complication that arises after congenital cataract surgery. The purpose of this research was to study eyes that manifested glaucoma after congenital cataract surgery and to identify associated factors.
A retrospective review of patients who received cataract surgery before the age of five was conducted. The chi-squared test for association was used to evaluate risk factors.
One hundred and forty eyes of 85 patients were studied. Nineteen eyes of 12 patients had glaucoma, among which 79% was open angle. Patients who underwent secondary membranectomy for visual axis occlusion had a higher risk of glaucoma, especially when secondary membranectomy was performed within one year of primary surgery. Of eight eyes with microcornea, none developed glaucoma after surgery. No significant difference in outcome was found among the surgical methods of cataract removal.
Aggressive clearance of lens cortex during surgery is important. Secondary membranectomy for clearing the visual axis occlusion is associated with post operative glaucoma. Frequent and long-term patient follow-up is mandatory since glaucoma may manifest many years after congenital cataract surgery.
青光眼是先天性白内障手术后一种众所周知的并发症。本研究的目的是研究先天性白内障手术后出现青光眼的眼睛，并确定相关因素。
对5岁前接受白内障手术的患者进行回顾性研究。采用卡方检验来评估危险因素。
对85例患者的140只眼睛进行了研究。12例患者的19只眼睛患有青光眼，其中79%为开角型。因视轴阻塞接受二期膜切除术的患者患青光眼的风险更高，尤其是在一期手术一年内进行二期膜切除术时。8只患有小角膜的眼睛术后均未发生青光眼。白内障摘除手术方法之间的结果无显著差异。
手术中积极清除晶状体皮质很重要。用于清除视轴阻塞的二期膜切除术与术后青光眼有关。由于青光眼可能在先天性白内障手术后多年出现，因此必须对患者进行频繁和长期的随访。
