外伤性晶状体脱位继发青光眼的手术治疗
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Surgical treatment for secondary glaucoma due to traumatic lens subluxation
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    摘要:

    目的:探讨外伤性晶状体脱位继发青光眼的手术方法及临床疗效。

    方法:晶状体脱位继发青光眼的32例病例中,22例行晶状体玻璃体切除术,7例行晶状体玻璃体切除联合小梁切除术,3例行晶状体玻璃体切除联合青光眼引流阀植入术。随诊1~12mo,观察眼压、视力及并发症等。

    结果:患者32例术前平均眼压45.67±14.36mmHg,随访末次眼压16.63±7.94mmHg,其中9~21mmHg者27例,21~24mmHg者4例,>24mmHg者1例。术后矫正视力提高者24例,不变者7例,下降者1例。

    结论:根据患者具体情况,选择适当的手术方式,是治疗外伤性晶状体脱位继发青光眼安全、有效的措施。

    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.

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鄢俊杰,陈晓,丁怡,等.外伤性晶状体脱位继发青光眼的手术治疗.国际眼科杂志, 2013,13(3):573-574.

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  • 收稿日期:2012-09-14
  • 最后修改日期:2013-02-21
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