目的:评价玻璃体腔内超声乳化联合玻璃体切除治疗晶状体全脱位所致青光眼的疗效。方法:选取2007-11/2010-03对16例16眼因眼钝挫伤或白内障摘除术中后囊破裂晶状体核全脱位于玻璃体腔导致眼压升高的患者,采用标准睫状体扁平部闭合式三切口,先行全玻璃体切除术,再采用去硅胶袖套的超声乳化头乳化摘除脱位的晶状体,术后观察视力、眼压、视网膜、巩膜伤口等恢复情况。结果:所有晶状体均成功摘除,没有发生严重的并发症。视网膜、巩膜伤口无明显损害。术后视力提高到指数/眼前者2眼,0.1～0.3者7眼,>0.3者5眼,其余2眼保持不变。术后眼压15～20mmHg者14眼,>21mmHg者2眼,经滴降眼压眼液后,眼压降至<20mmHg。结论:玻璃体腔内超声乳化联合玻璃体切除治疗晶状体全脱位所致青光眼,具有眼内组织损伤小,方便,快捷,不需要应用重水的特点。超声乳化头完全可以代替超声粉碎头用于晶状体脱位于玻璃体腔的治疗。

AIM:To evaluate the effect of treating the glaucoma with phacoemulsification replacing phacofragmentation without perfluorocarbon liquid to remove the dislocated lens in vitreous cavity. ·METHODS:Between November 2007 and March 2010,a series glaucomatous cases of 16 patients 16 eyes with posterior dislocation lens because of ocular trauma or cataract surgery were studied retrospectively. The total vitrectomy combined with intravitreal phacoemulsification devoid of the silicone sleeve was used to remove dislo-cation of the lens. The main outcome measures were visual acuity,intraocular pressure,retina and sclera heal-ing postoperatively. ·RESULTS:All dislocated lenses were successfully removed. There was no retinal detachment,retinal hemorrh-age and sclera burning. No complications occurred during phacoemulsification. After operation,Visual acuity was counting fingers in 2 eyes,0.1-0.3 in 7 eyes,more than 0.3 in 5 eyes and was unchanged in 2 eyes. The postoperative intraoclar pressure was located between 15-20mmHg in 14 eyes and lowered to mormal range in another two eyes using anti-glaucoma medical drops. ·CONCLUSION:The conventional phacoemulsification probe devoid of the silicone sleeve can be used to remove the dislocaed lens of vitreous cavity in vitrectomy surgery. This technique has minor injury,convenience and short time and doesn’t need the perfluorocarbon injection. It is preferred to treat the glaucoma due to the dislocation of lens.

R779.6