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目的探讨1眼发生恶性青光眼后,其对侧眼青光眼行手术治疗的方法及疗效。方法以我院2011年1月～2012年12月期间收治的12例单眼发生恶性青光眼行对侧眼青光眼治疗的患者为研究对象,其对侧青光眼施行透明角膜切口超声乳化白内障摘除+后房型折叠式人工晶状体植入+小梁切除术。观察对侧眼青光眼的治疗效果。结果12眼恶性青光眼对侧眼联合手术后眼压控制正常,前房加深,视功能无进一步损害,未发生恶性青光眼。结论透明角膜切口超声乳化白内障摘除+后房型折叠式人工晶状体植入+小梁切除术可作为恶性青光眼高危眼的治疗方法之一。
Objective To investigate the method and effect of surgical treatment of glaucoma in the contralateral eye after malignant glaucoma in one eye. Methods Twelve patients with monocular malignant glaucoma treated with contralateral glaucoma treated in our hospital from January 2011 to December 2012 were enrolled in this study. They were treated with clear corneal incision phacoemulsification and posterior chamber fold contralateral glaucoma Intraocular lens implantation + trabeculectomy. Observe the contralateral glaucoma treatment. Results In 12 eyes of malignant glaucoma, the intraocular pressure was normal after the contralateral eye surgery. The anterior chamber was deepened without any further impairment of visual function. No malignant glaucoma occurred. Conclusions Clear corneal incision phacoemulsification cataract extraction + posterior chamber foldable intraocular lens implantation + trabeculectomy can be used as one of the treatment of high-risk eyes of malignant glaucoma.