外伤性白内障继发性青光眼伴前房消失的临床研究  

Clinical study on secondary glaucoma after traumatic cataract with obliteratio camerae anterior

作　　者：向晖[1] 马云龙[1] 陈莉[1] 莫广林 

机构地区：[1]武警广东省总队医院眼科,广州510507

出　　处：《中华眼外伤职业眼病杂志》2012年第2期109-111,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨眼球穿孔伤伴外伤性白内障后继发性青光眼引起前房消失的治疗方法。方法对12例（12眼）眼球穿孔伤后外伤性白内障后继发青光眼伴前房消失，立即施行晶状体超声乳化和（或）前部玻璃体切除术，手术细心操作。术后随访6～24个月。结果所有术眼术后前房形成良好，眼压控制理想，术后视力较术前明显提高，无角膜内皮失代偿等并发症。结论眼球穿孔伤伴外伤性白内障后继发青光眼及前房消失，及时行白内障超声乳化手术，解除瞳孔阻滞，是前房形成的关键，从而可获得较好的结果。Objective To study the treatment of the anterior chamber obliteration of traumatic cata- ract with secondary glaucoma after the eyeball perforation wound. Method 12 cases （ 12 eyes） with trau- matic cataract with secondary glaucoma after eye perforation wound were following the cataract phacoemulsifi- cation immediately and （or） vitrectomy, after the surgery, follow-up for 6 -24 months. Results The ante- rior chamber formed, the intraocular pressure （IOP） contralled after surgery. Postoperative visual acuity im- proved obviously than preoperation, with no decompensation of corneal endothelium. Conclusion To the traumatic cataract with secondary glaucoma after the eyeball perforates the wound partner and the anterior chamber vanishing, Removing the pupillary blocking by phacoemulsification cataract surgery is key factor to form anterior chamber, and can get good results.

关 键 词：眼球穿孔伤 白内障 外伤性 青光眼 继发性 前房消失 超声乳化 

分 类 号：R779.6[医药卫生—眼科]