小梁切除联合玻璃体抽液术治疗术中恶性青光眼倾向疗效观察  

Observation on trabeculectomy combined with vitreous aspiration for treatment of patients with intraoperative malignant glaucoma tendency

作　　者：吴岚 胡耀 彭华琮 唐亮 吴立平 王军明[2] 

机构地区：[1]武汉艾格眼科医院白内障青光眼中心,中国湖北省武汉市430015 [2]华中科技大学同济医学院附属同济医院眼科,中国湖北省武汉市430030

出　　处：《国际眼科杂志》2012年第4期765-767,共3页International Eye Science

摘　　要：目的:观察小梁切除术联合玻璃体抽液术治疗术中有恶性青光眼倾向患者的疗效。方法:青光眼患者19例20眼术中从角膜穿刺口注水恢复前房检查巩膜瓣渗漏情况时,表现为前房浅眼压高的患者,予以玻璃体穿刺抽液、前房注黏弹剂的方法治疗。结果:患者19例术后无1例浅前房,出院眼压为5～22.5(平均10.4)mmHg,视力较术前提高者5例6眼,下降者9例9眼,3例3眼有玻璃体出血。结论:小梁切除术中出现恶性青光眼倾向患者常为伴有睫状体前位晶状体前移的闭角型青光眼,术中联合玻璃体抽液术,可有效预防术后恶性青光眼的发生。AIM：To investigate the effect of trabeculectomy combined with vitreous aspiration in treating malignant glaucoma.METHODS：Nineteen patients（20 eyes） with shallowing of the anterior chamber and high intraocular pressure following trabeculectomy were treated with viscoelastics injected to the anterior chamber combined with vitreous aspiration.RESULTS：The intraocular pressure of 19 patients ranged from 5 to 22.5 mmHg,the average was 10.4 mmHg.The visual acuity of 5 patients（6 eyes） increased,and the visual acuity of 9 patients（9 eyes） declined.Vitreous hemorrhage occurred in 3 patients（3 eyes）.CONCLUSION：The pathogenesis of malignant glaucoma includes forward displacement of the ciliary body and lens.Trabeculectomy combined with vitreous aspiration can prevent malignant glaucoma effectively.

关 键 词：小梁切除术 玻璃体抽液术 恶性青光眼 睫状体前位 晶状体前移 

分 类 号：R779.6[医药卫生—眼科]