晶体溶解性青光眼21例临床分析  

Clinical Analysis of 21 Cases of Phacolytic Glaucoma

作　　者：项玉荣 陈本超 

机构地区：[1]山东省沂水县人民医院,276400

出　　处：《青岛医药卫生》2009年第2期103-104,共2页Qingdao Medical Journal

摘　　要：目的探讨晶体溶解性青光眼的临床表现、诊断方法及治疗原则。方法对21例晶体溶解性青光眼的临床症状、眼部体征、治疗方法等临床资料进行回顾性分析。结果患者眼压控制后,对患病时间少于15天者,给予晶体囊外摘除加人工晶体植入术,超过15天者联合小梁切除术,术中彻底冲洗前房。病人症状可自行缓解。结论晶体溶解性青光眼是因晶状体纤维分解液化,呈乳白色水状,且此时晶体囊膜变性,通透性增加或前囊膜破裂,使液化皮质渗入前房,沉积于前房角,阻塞小梁网,使房水排出受阻,而引起眼压急剧升高。如果治疗及时可获得满意疗效。Objective To investigate the clinical performance, diagnosis method and treatment principle of phacolytic glaucoma. Methods Retrospective analysis was used to the clinical symptoms, eye signs,treatment methods of 21 cases phacolytic glaucoma. Results After controlling intraocular pressure, lens extracapsular extraction and intraocular lens implantation were used for the patients of less than 15 days sick time, while trabeculectomy was used in addition for the patients of more than 15 days sick time. Anterior chambergive was washed thoroughly during operation. Patients＇ symptoms were alleviated automatically. Conclusion Phaeolytic glaucoma is because of the decomposition and liquefaction of lens fiber presenting ivory water form, the crystal capsular degeneration, permeability increasing or rupture of anterior capsule membrane, infiltration of liquefied cortex into the anterior chamber, deposition in the anterior chamber angle,obstruction of trabecular meshwork,obstruction of aqueous discharges and the sharp rise in intraocular pressure. The effects can be satisfied with timely treatment.

关 键 词：晶体溶解性青光眼 手术方法 

分 类 号：R775.3[医药卫生—眼科]