外伤性晶状体脱位继发青光眼的手术治疗  

Surgical treatment for secondary glaucoma due to traumatic lens subluxation

作　　者：鄢俊杰[1] 陈晓[1] 丁怡[1] 肖艳霞[1] 

机构地区：[1]广州军区武汉总医院眼科中国人民解放军眼科中心,中国湖北省武汉市430070

出　　处：《国际眼科杂志》2013年第3期573-574,共2页International Eye Science

摘　　要：目的:探讨外伤性晶状体脱位继发青光眼的手术方法及临床疗效。方法:晶状体脱位继发青光眼的32例病例中,22例行晶状体玻璃体切除术,7例行晶状体玻璃体切除联合小梁切除术,3例行晶状体玻璃体切除联合青光眼引流阀植入术。随诊1～12mo,观察眼压、视力及并发症等。结果:患者32例术前平均眼压45.67±14.36mmHg,随访末次眼压16.63±7.94mmHg,其中9～21mmHg者27例,21～24mmHg者4例,>24mmHg者1例。术后矫正视力提高者24例,不变者7例,下降者1例。结论:根据患者具体情况,选择适当的手术方式,是治疗外伤性晶状体脱位继发青光眼安全、有效的措施。· AIM ： To explore the methods and effect of operation for secondary glaucoma due to traumatic lens subluxation. · METHODS： Among 32 cases of secondary glaucoma induced by lens dislocation, 22 cases were treated by vitrectomy combined phacectomy; 7 cases were treated by vitrectomy, phacectomy combined trabeculectomy; 3 cases were treated by vitrectomy, phacectomy combined glaucoma valve implantation. They were followed up for 1- 12 months. Intraocular pressure （lOP）, visual acuity （VA） and complications were observed. · RESULTS： The average lOP of pre-operation was （45.67±14.36） mmHg , the last lOP was （16.63±7.94） mmHg. Among them, the last lOP was 9-21mmHg in 27 eyes, 21-24mmHg in 4 eyes, higher than 24mmHg in 1 eye. Best-corrected visual acuity was improved in 24 eyes, stabilized in 7 eyes and decreased in 1 eye. No complication was observed. ·CONCLUSION ： Choosing applicable operation according to the situation of every patient is safe and effective.

关 键 词：晶状体脱位 青光眼 玻璃体切除术 联合手术 

分 类 号：R779.6[医药卫生—眼科]