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《Journal of Bengbu Medicine College》 2003-02
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Phacoemulsification for eyes having received trabeculectomy

LI Yun qian,LI Zhe qing,YU Ja,FANG Li(Department of Ophthalmology,Affiliated Hospital of Bengbu Medical College,Anhui 233004,China)  
Objective:To investigate the surgical approaches,techniques and clinical effects of phacoemulsification for patients with glaucoma who have undergone trabeculectomy once or twice before.Methods:Limbus tunnel incision or clear corneal tunnel incision was made without damaging the functional filtering blebs.A small perfect circular tear capsulorraxis with a diameter of 5 mm was made for the compensation of palsied large pupils.Phacoemulsification was completed through small carefully trimmed synechia pupils.Phacotrabeculectomy with intraocular lens implantation(triple surgery) was performed for cases with cataract and glaucoma.Results:No posterior capsule rupture occurred and all the lenses were inserted into the capsular bags.The visual acuities were ≥0.5 in 20 eyes(64.5%),0.1 to 0.4 in 8 eyes(25.8%) and 0.1 in 3 eyes(9.7%) one week after the operation,and the intraocular pressure was below 20.55 mmHg in all eye during the follow up of 1 to 16 months.Conclusions:Phacoemulsification has the advantages of small incision,less complications,and no damage to filtering blebs and pathological small pupils.It is the choice of operation for eyes with cataract and former trabeculectomy.
【CateGory Index】: R779.66
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