Abstract:AIM: To explore the methods and effect of operation for secondary glaucoma due to traumatic lens subluxation.
METHODS: Among 32 cases of secondary glaucoma induced by lens dislocation, 22 cases were treated by vitrectomy combined phacectomy; 7 cases were treated by vitrectomy, phacectomy combined trabeculectomy; 3 cases were treated by vitrectomy, phacectomy combined glaucoma valve implantation. They were followed up for 1-12 months. Intraocular pressure(IOP), visual acuity(VA)and complications were observed.
RESULTS: The average IOP of pre-operation was(45.67±14.36)mmHg, the last IOP was(16.63±7.94)mmHg. Among them, the last IOP was 9-21mmHg in 27 eyes, 21-24mmHg in 4 eyes, higher than 24mmHg in 1 eye. Best-corrected visual acuity was improved in 24 eyes, stabilized in 7 eyes and decreased in 1 eye. No complication was observed.
CONCLUSION: Choosing applicable operation according to the situation of every patient is safe and effective.