恶性青光眼的危险因素及防治对策  

The risk factors and protective countermeasures for malignant glaucoma

作　　者：吕旭菁[1,2] 陈琴[1] 范莲[1] 张竹君[2] 袁志兰[1] 

机构地区：[1]南京医科大学第一附属医院眼科,210029 [2]常州市第一人民医院眼科

出　　处：《江苏医药》2011年第21期2518-2520,共3页Jiangsu Medical Journal

摘　　要：目的分析原发性闭角型青光眼滤过术后恶性青光眼发生的危险因素及防治对策。方法选择小梁切除术的原发性闭角型青光眼患者244例(318眼),比较术后发生恶性青光眼患者(A组,20例20眼)与未发生恶性青光眼患者(B组,224例298眼)相关资料的差异。结果 A组患者年龄小于B组[(57.2±7.6)岁vs.(65.0±6.1)岁](P<0.01)。术前A组眼压高于B组[(33.1±6.5)mm Hg vs.(23.3±3.9)mm Hg](P<0.01)。术后A组眼轴长度、前房深度小于B组[(21.7±0.3)mm vs.(22.5±1.1)mm、(1.8±0.1)mm vs.(2.2±0.2)mm](P<0.01)。结论短眼轴、术前高眼压、相对年轻、慢性型是闭角型青光眼患者术后发生恶性青光眼的危险因素。Objective To analyze the risk factors and the protective countermeasures of malignant glaucoma following filtration surgery in the patients with primary angle closure glaucoma（PACG）.Methods Data of 244 patients（318 eyes） with PACG were analyzed,in whom 20 eyes of 20 patients（group A） developed malignant glaucoma after trabeculectomy and 298 eyes of 224 patients（B group） did not.Results The patients of group A were much younger than those of group B [（57.2±7.6） years old vs.（65.0±6.1） years old]（P〈0.01）.Intraocular pressure（IOP） in group A was much higher than those in group B preoperatively[（33.1±6.5） mm Hg vs.（23.3±3.9） mm Hg]（P〈0.01）.The length of axis oculi and the depth of anterior chamber of the eyeball were less in group A than those in group B[（21.7±0.3） mm vs.（22.5±1.1） mm and（1.8±0.1） mm vs.（2.2±0.2 mm）]（P〈0.01）.Conclusion Relatively shorter axial length,preoperative higher IOP,younger age and the patients with chronic closure angle glaucoma are the risk factors for developing malignant glaucoma after trabeculectomy.

关 键 词：恶性青光眼 危险因素 

分 类 号：R775[医药卫生—眼科]