Clinical experience of surgical treatment of Fuchs syndrome complicated with cataract and glaucoma

Lian-Rong Su, Qi Li, Lian-Rong Su
unpublished
誗 AIM: To evaluate the effect of surgical treatment of Fuchs syndrome complicated with cataract and glaucoma. 誗 METHODS: Phacoemulsification and intraocular lens implantation were performed on 16 patients (16 eyes) with Fuchs syndrome complicated with cataract and glaucoma, 2 patients (2 eyes) complicated cataract and glaucoma were treated with phacoemulsification and intraocular lens implantation combined with trabeculectomy. Visual acuities, intraocular pressure and treatment effects were
more » ... nt effects were evaluated after treatment. 誗 RESULTS: The visual acuities of all eyes improved obviously. Sixteen eyes (88. 89%) attained corrected vision above 0. 5 three months after operation, 10 eyes with posterior capsule opacification attained corrected vision above 0. 5 three months after the YAG laser posterior capsulotomy. Intraocular pressure of 2 eyes with glaucoma dropped to the normal range. 誗CONCLUSION: Phacoemulsification and intraocular lens implantation with trabeculectomy is effective and safe for Fuchs syndrome complicated with cataract and glaucoma. It is one of the ideal surgical treatments without severe complications at present. 誗 Citation:Su LR, Li Q. Clinical experience of surgical treatment of Fuchs syndrome complicated with cataract and glaucoma. Guoji Yanke Zazhi(Int Eye Sci) 2013;13(8) :1683-1685 摘要 目的:探讨 Fuchs 综合征并发白内障青光眼的手术治疗效果。 方法:对 Fuchs 综合征患者 16 例 16 眼合并白内障行超声 乳化联合人工晶状体植入术,2 例 2 眼合并白内障及青光 眼行超声乳化人工晶状体植入术联合小梁切除术,观察术 前和术后视力、眼压以及治疗效果。 结果:患者 18 例 18 眼术后视力均有明显提高,术后 3mo 视力(含矫正) 逸0. 5 者 16 眼(88. 89%) ,10 眼后囊混浊 行 YAG 激光后囊切开术后视力均逸0. 5。 2 眼合并青光 眼者术后眼压降至正常范围。 结论:超声乳化联合人工晶状体植入术以及联合小梁切除 术治疗 Fuchs 综合征并发白内障青光眼效果良好,安全可 靠,术后反应轻,并发症少,是可行的手术方法。 关键词:Fuchs 综合征;并发白内障;继发青光眼;超声乳 化吸出;小梁切除
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