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.