目的:探讨眼球筋膜囊下麻醉在青光眼术后颞侧巩膜小切口手法白内障摘出术中的应用效果。方法:对青光眼小梁切除术后29例32眼白内障患者采用眼球筋膜囊下麻醉行颞侧巩膜小切口手法白内障摘出术,观察术中麻醉效果、术后视力、眼压及并发症情况。结果:完全无疼痛感29眼(90.6%),轻微疼痛感3眼(9.4%)。术后视力均有所提高,有效保留了原有功能性滤过泡,术后随访3～12mo,眼压控制良好。手术并发症主要有角膜水肿、前房纤维素性渗出、术后一过性眼压升高。结论:眼球筋膜囊下麻醉行颞侧巩膜小切口手法白内障摘出术是安全、有效、经济的,可在提高视力的同时保持原有滤过泡功能。

AIM:To observe the practical effect of anesthesia under tenon capsule in the temporal scleral manual small incision cataract surgery after trabeculectomy.METHODS:Twenty-nine patients(32 eyes) were treated by anesthesia under tenon capsule in the temporal scleral manual small incision cataract surgery after trabeculectomy,the anesthesia effect in operation,postoperative vision,postoperative intraocular pressure(IOP) and complications after the operation were observed.RESULTS:Twenty-nine eyes(90.6%) were complete and pain free,3 eyes(9.4%) had mild pain.All patients got improved vision and maintained functional filtering bleb effectively.In 3-12months’ follow-up after the operation,IOP were under control well.The main complications were corneal edema,anterior chamber exudates and quickly increasing IOP after operation.CONCLUSION:Using anesthesia under tenon capsule in the temporal scleral manual small incision cataract surgery after trabeculectomy is safe,effective and economic.It can improve the vision,meanwhile,maintain the functional filtering bleb.

R779.6