To observe the treatment method and efficacy of secondary glaucoma with acute uveitic glaucoma after phacoemulsification in diabetics.

The data of acute uveitic glaucoma after phacoemulsification and intraocular lens implantation in patients with diabetes were analyzed in this retrospective study.The onset time, treatment methods and efficacy were observed.

The onset time of all patients was 4 to 7 days, with an average of (5.00±2.30) days.The visual acuity was light perception to 0.05 and the IOP was 38-50 (43.00±13.90)mmHg (1 mmHg=0.133 kPa) at the first visit. All cases received treatment of lowering intraocular pressure, the topical anti-inflammatory therapy and mydriasis.There was no improvement in the pupil, IOP and the visual acuity. Among them, 19 cases received Nd: YAG laser iridotomy to remove exudative pupillary membrane, and the other 12 cases underwent peripheral iridectomy combined with iris adhesion separation.After operation, the IOP of the 31 cases decreased rapidly to below 20 mmHg, the anterior chamber fibrous exudate was completely absorbed within 1 to 2 weeks, and the visual acuity was basically restored to the pre-onset condition about 0.15 to 1.0.

YAG laser incision of the exudate membrane of pupil region or peripheral iridectomy to remove pupil block can effectively control the IOP and restore vision in diabetes with acute uveitic glaucoma after phacoemulsification.

Cataract; Diabetes; Phacoemulsification; Glaucoma, secondary, uveitis, acute