直视下睫状突光凝术治疗外伤性晶状体脱位继发青光眼  

Under direct looking at the ciliary photocoagulation for treatment of secondary glaucoma after traumatic lens dislocation

作　　者：杨洪波 杨向红 翁晓春[2] 

机构地区：[1]河南省濮阳光明医院,457100 [2]河南省安阳市眼科医院,455000

出　　处：《中国实用眼科杂志》2016年第2期159-161,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的评价在玻璃体切割手术中行直视下睫状突光凝术治疗外伤性晶状体脱位继发青光眼的疗效。方法对2010年10月至2014年6月在濮阳光明医院及安阳市眼科医院就诊的11例（11只眼）外伤性晶状体脱位继发青光眼行玻璃体切割＋晶状体切割（或超声粉碎）术，术中在眼内照明直视睫状突情况下，用红外810nm半导体激光器导管头对睫状突行3到6个时钟位光凝。术后观察眼压、眼前段组织的反应等，平均随访时间11个月。结果患者术前眼压与术后最后一次随访眼压[（42．45±5．79vsl7．82±4．42）mmHg]比较，差异有统计学意义（P=0．000）。未发现术后眼压过低、眼球萎缩。术中术后未发现出血、患者疼痛反应脉络膜脱离等并发症。术后3月时行UBM检查术区睫状突萎缩。结论在玻璃体切割手术中行直视下睫状突光凝术治疗外伤性晶状体脱位继发青光眼能有效降低眼压，操作简单，费用低，安全，值得推广。Objective To evaluate the efficacy and safety of direct looking at the ciliary photo- coagulation treatment of secondary glaucoma after traumatic lens dislocation in the vitrectomy. Methods Eleven cases （11 eyes） of secondary glaucoma after traumatic lens dislocation received vitrectomy plus lens ultrasonic grinding operation. Intraoperative in intraocular lighting look ciliary processes, ciliary was photocoagulated processes 3 to 6 clock with 810nm infrared laser guide line bald- headed. Before and after the surgery, the intraocular pressure （IOP） as well as the outer appearance of anterior segment was evaluated. The mean follow-up period was 11 months. Results The IOP at the last visit was （17.82±4.42）mmHg, which was significantly lower than that before the surgery [（42.45±5.79）mmHg, P =0.000]. No low postoperative IOP was found. Atrophy of the ciliary processes was observed 3 months after the surgery by UBM. Conclusions It is efficacy and safety of direct looking at the ciliary photocoagulation treatment of secondary glaucoma after traumatic lens dislocation in the vitrectomy. It＇s simple operation, low cost, worth to promote.

关 键 词：玻璃体切割手术 睫状突光凝术 晶状体脱位 外伤继发lI生青光眼 

分 类 号：R776.2[医药卫生—眼科]