Abstract：Objective To explore the clinical effect of different operation methods in treating expansion stage cataract secondary glaucoma continuous high intraocular pressure. Methods 22 continuous high intraocular pressure patients （22 eyes）,diagnosed as expansion stage cataract secondary glaucoma in our hospital and intraocular pressure more than 5.33 kPa after treated with maximal dosage anti-glaucoma agents for 2 to 3 days from February 2014 to December were selected.Patients were randomly divided into two groups.10 cases in experimental group were treated with vitreous puncture pumping fluid combined with cataract ultrasonic emulsification plus artificial lens implantation.12 cases in control group were treated with anterior chamber puncture combined with cataract ultrasonic emulsification plus artificial lens implantation.Postoperative eyesight,intraocular pressure,changes of anterior chamber depth and incidence of operation complications were observed and compared in two groups after operation. Results Postoperative eyesight,intraocular pressure,changes of anterior chamber depth of all patients improved after vitreous aspiration or anterior chamber puncture fluid combined with cataract ultrasonic emulsification plus artificial lens implantation,but there was no obvious difference compared with two groups（P＞0.05）.The operation complications incidence rate in vitreous puncture pumping fluid group was 20％,lower than that was 58.33％in anterior chamber puncture group,and the difference was statistical significance（P＜0.05）. Conclusion Both of cataract ultrasonic emulsification plus artificial lens implantation combined with vitreous puncture pumping fluid or anterior chamber puncture can reduce the expansion stage cataract secondary glaucoma continuous high intraocular pressure and enhance eyesight.But the former is more safety and can decrease the incidence rate of operation complications.
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