白内障摘除人工晶体植入抗青光眼联合手术的护理（Nursing care of cataract extraction and intraocular lens implantation combined with anti glaucoma surgery）.docVIP

白内障摘除人工晶体植入抗青光眼联合手术的护理（Nursing care of cataract extraction and intraocular lens implantation combined with anti glaucoma surgery） Our department from October 1997 to May 1999 with phacoemulsification cataract IOL implantation and 86 cases of glaucoma combined surgery (92 eyes) of cataract, cataract and glaucoma patients, and achieved good results, the report is as follows. 1 clinical information Of the 86 cases (92 eyes), there were 39 males and 47 females, aged 53~80 years, with an average age of 61 years. There were 67 cases of primary open angle glaucoma, 72 eyes, 7 cases of primary angle closure glaucoma, 8 eyes of secondary glaucoma, 12 cases of secondary glaucoma, 12 eyes. 92 eyes had intraocular pressure of 2.74 to 7.74 kPa preoperatively, and intraocular pressure was high or unstable. Preoperative visual acuity was 0.2. Cataract can be seen in 15 eyes, 15 eyes C/D=0.5 ~ 0.9. 2 operation method Preoperative 30 min rapid intravenous infusion of 20% mannitol 250 ml control intraocular pressure, tropicamide mydriasis fast. Peribulbar anesthesia, temporal or nasal limbus based flap, namely from the limbus after 2 ~ 3 mm scale diamond knife arc incision 6 mm tunnel, separated to the transparent cornea within 1 mm, the 3.5 mm in the mouth of the knife puncture into the anterior chamber, injecting viscoelastics, capsulorhexis, full of water separation. High vacuum (-20, kPa) low energy 50% ultrasonic emulsification was used to perform the in situ fragmentation of the nucleus, and the cortex was extracted automatically. The intraocular lens was implanted into the incision, and the intraocular lens was implanted with the corresponding diopter in the rotating bag. Allow the viscoelastic agent to maintain the anterior chamber, perform minor trabeculectomy and iridectomy. Rinse and anterior chamber injection of 1% pilocarpine 0.1 ~ 0.2 ml BSS solution was injected into the anterior chamber of miosis, formation, without suture is watertight. Conjunctival flap was fixed an