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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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【Citations】
Chinese Journal Full-text Database 1 Hits
1 YAO Ke, WU Renyi, XU Wen, et al Department of Ophthalmology, Affiliated Second Hospital, Medical College of Zhejiang University, Hangzhou 310009, China;Combined phacoemulsification, foldable intraocular lens implantation and trabeculectomy for cataract patients with glaucoma[J];CHINESE JOURNAL OF OPHTHALMOLOGY;2000-05
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Wuhu First People's Hospital,WuHu241000,Anhui HAN Zheng-sheng;Phacoemulsification after glaucoma filtering operation[J];Journal of Anhui Health Vocational & Technical College;2007-04
2 ZHANG Xue-dong, LIU Zhao-hui,LI qi,et al. (Department of Ophthalmology, the First Affiliated Hospital,Chongqing University of Medical Sciences,Chongqing 400016,China);The application of the water-injection method for the nucleus delivery in extracapsular cataract extraction[J];Chongqing Medical Journal;2005-04
3 QIU Rui-ying,ZHANG Shu-fen (Department of Ophthalmology,Shanghai Li Qun Hospital,Shanghai 200060,China);Cataract extraction and phacoemulsification with intraocular lens inplantation in patients after glaucoma surgery[J];Journal of Dalian Medical University;2001-01
4 ZHU Wei.Department of Ophthalmology,General Hospital of Dagang Oil Field,Tianjin 300280,Tianjin;Analysis on corneal edema after cataract phacoemulsification[J];Clinical Medicine;2008-07
5 Rao Huiying.Department of Ophthalmology,Fujian Provincial College of Fujian Medical University,Fuzhou 350001,China;Clinical observation of unique eye cataract surgery[J];Fujian Medical Journal;2008-03
6 Qingzhai Xu. Department of Ophthalmology of Baoji Central Hospital, Shaanxi 721008, China;Remaining glaucoma treated by a combination of reformed trabeculectomy and cataract extracton[J];;2000-01
7 Fei Liu Xiaoran Yang, Minchao Li. Department of Ophthalmology,Nanhai City People's Hospital, Nanhai 528200, China;Combined phacoemulsification, foldable intraocular lens implantation and trabeculectomy for catarat patients with glaucoma[J];;2001-03
8 XingfangLiu.Qing Guo Peihong Xu Department of Ophthalmology Central Hospital of Huangpu District Shanghai 200002,China;Phacoemulsification combined with trabeculectomy in treatment of glaucoma complicated with cataract[J];;2002-02
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10 Rongzhao Hong, Shanna Chen, Mingzhi Zhang, et al. Eye Center, Xiamen 361001, China;Some Opinions about the Standards of Perfect Phacoemulsiflcation[J];;2002-04
【Secondary Citations】
Chinese Journal Full-text Database 2 Hits
1 Yao Ke, Jiang Jiekai, Yang Yapo, et al. Department of Ophthalmology, Affiliated Second Hospital,Zhejiang medical University, Hangzhou 310009;Phacoemulsirication and foldable intraocular lens implantation through a small sutureless incision[J];CHINESE JOURNAL OF OPHTHALMOLOGY;1997-02
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