外伤性前房积血继发青光眼的手术疗效
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Analysis of surgical treatment of traumatic anterior chamber hemorrhage and secondary glaucoma
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    摘要:

    目的:对外伤性前房积血继发青光眼患者,根据不同的病情,采用不同的手术方式进行治疗并分析。

    方法:患者63例63眼中,18例18眼施行角巩膜隧道切口+透明角膜辅助切口,白内障注吸针头手动抽吸冲洗术; 32例32眼施行自闭式透明角膜切口、超声乳化灌注抽吸术; 13例13眼施行小梁切除术治疗。

    结果:患者63例63眼术后视力:1.0以上者9例9眼,占14.3%; 0.6~0.8者13例13眼,占20.6%; 0.4~0.5者11例11眼,占17.5%; 0.3者8例8眼,占12.7%; 0.2者7例7眼,占11.1%; 0.15者5例5眼,占7.9%; 0.1者3例3眼,占4.8%; 0.01~0.05者3例3眼,占4.8%; 指数2例2眼,占3.2%; 手动2例2眼,占3.2%。

    结论:前房积血患者,根据积血量的多少、凝血块的大小、在前房内凝聚的时间、眼内组织损伤的轻重等并发症情况,分别采用不同的手术方式,获得不同的手术效果。同时术中合理应用黏弹剂,对提高手术成功率,减少术中、术后并发症的发生也起到非常重要的作用。

    Abstract:

    AIM: To analyze the use of different surgical methods for traumatic hyphema with secondary glaucoma patients, depending on the condition.

    METHODS: Out of 63 cases 63 eyes, 18 cases 18 eyes underwent the scleral tunnel incision + transparent cornea auxiliary incision cataract aspirating needle manually suction lavage; 32 cases and 32 underwent self-closed clear corneal incision phacoemulsification infusion pumping aspiration; 13 cases and 13 underwent trabeculectomy.

    RESULTS: In the 63 cases 63 eyes, visual acuity of 9 cases 9 eyes was more than 1.0, accounting for 14.3%; of 13 cases 13 eyes was 0.6 to 0.8, accounting for 20.6%; of 11 cases 11 eyes was 0.4-0.5, accounting for 17.5%; of 8 cases 8 eyes was 0.3, accounting for 12.7%; of 7 cases 7 eyes 0.2, accounting for 11.1%; of 5 cases 5 eyes was 0.15, accounting for 7.9%; of 3 cases 3 eyes was 0.1, accounting for 4.8%; of 3 cases 3 eyes was 0.01-0.05, accounting for 4.8%; of 2 cases 2 eyes was finger counting, accounting for 3.2%; of 2 cases 2 eyes was hand motion, accounting for 3.2%.

    CONCLUSION: Anterior chamber hemorrhage patients, according to how much of the plot of blood volume, blood clot, the size of the cohesion of the anterior chamber, intraocular tissue injury severity, complications, respectively, using different surgical methods can receive different surgical effect. In particular, rational application of intraoperative viscoelastic agents play a very important role in improving the success rate of surgery to reduce postoperative complications.

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许海嘉,陈卓,谢碧华.外伤性前房积血继发青光眼的手术疗效.国际眼科杂志, 2013,13(2):319-321.

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  • 收稿日期:2012-09-07
  • 最后修改日期:2013-01-17
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