硅油入前房继发青光眼的临床治疗  

Clinical treatment for secondary glaucoma due to silicone oil migrating into anterior chamber

作　　者：袁容娣[1] 贺翔鸽[1] 刘少章[1] 王维光[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所眼科,重庆400042

出　　处：《第三军医大学学报》2007年第13期1331-1333,共3页Journal of Third Military Medical University

摘　　要：目的探讨硅油入前房继发青光眼的临床治疗方法。方法硅油入前房继发青光眼26例,其中无晶体眼22例,有晶体眼4例。硅油填充3个月以上,网膜复位好的患者直接取出硅油。无晶体眼患者分别行俯卧位、激光或手术行下方虹膜周切、硅油再注入、角膜下方小梁切除术。有晶体眼患者使用Healon将硅油从前房排出,硅油再入前房者切除晶体、硅油再注入、6点周边虹膜切除。患者眼压控制后随访3个月眼压。结果除1例无晶体眼患者放弃治疗外,其余患者随访3个月眼压控制。21例无晶体眼患者经不同方法治疗,眼压得到控制,其中5例单纯采用俯卧位、5例激光虹膜周切、4例手术虹膜周切、2例硅油再注入、2例直接取油、3例行角膜下方小梁切除术。有晶体眼患者4眼眼压均控制,其中3例使用Healon将硅油从前房排出,1例切除晶体、硅油再注入。结论硅油入前房继发青光眼经多种方法治疗后可获得满意疗效。Objective To explore the clinical therapeutic methods for secondary glaucoma induced by the migration of silicone oil into the anterior chamber. Methods Totally 26 cases of such secondary glaucoma, including 22 aphakic eyes and 4 phakic eyes were subjected. Silicone oil was directly taken out for the patients whose retina was reposited well after silicone oil injection for over 3 months. The aphakic patients underwent 6 o＇ clock position peripheral iridectomy with laser or operation on and trabeculectomy was carried out through inferior cornea. The prone position, then silicon oil was reinjected, phakic patients received silicone oil aspiration with Healon from the anterior chamber. When silicone oil remigrated into the anterior chamber, the crystal was resected, silicone oil was reinjected, and 6 o＇ clock position were followed up for 3 months after the intraocular pressure peripheral iridectomy were performed. The patients （IOP） reaching normal range. Results Except one patient gave up treatment, all the patients had stable and normal IOP after 3 months of follow-up. IOP was controlled through different methods in 21 aphakic eyes： 5 with prone position, 5 with 6＇ clock position peripheral iridectomy through laser or operation, 4 with silicon oil reinjecting, 2 with direct aspiration of silicone oil, and 3 with trabeculectomy under cornea, lOP was controled in all of phakic eyes： 3 with Healon aspiration of silicone oil, 1 with crystal resection and reinjection of silicone oil. Conclusion Secondary glaucoma induced by migration of silicone oil into the anterior chamber can be satisfactorily treated by many ways.

关 键 词：继发性青光眼 硅油 临床治疗 

分 类 号：R775[医药卫生—眼科] R779.6[医药卫生—临床医学]