硅油填充术后继发性青光眼的原因及处理  

The cause and treatment of secondary glaucoma after silicone oil tamponade

作　　者：杨华鹏[1] 张智敏[1] 崔瑞[1] 

机构地区：[1]漯河市第三人民医院眼科,河南462000

出　　处：《中华眼外伤职业眼病杂志》2016年第10期755-757,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨硅油填充术后继发性青光眼的原因及处理方法。方法回顾性分析2008年6月至2013年9月256例（256眼）在我院行玻璃体切除联合硅油填充术后出现继发青光眼的原因及处理方法。结果256例术后继发性青光眼53例（53眼）。其中，39眼用抗炎及抗青光眼药物治疗，用药后眼压为9．0—30．5mmHg（1mmHg=0．133kPa）；8眼行抗青光眼手术，术后眼压为9．0～19．5mmHg；6眼行硅油部分取出手术治疗，术后眼压为8．6～20．2mmHg。结论本组病例继发青光眼发生率为20．7％，可能的原因有术后眼部炎症反应、巩膜环扎、晶状体切除、广泛视网膜激光光凝、硅油填充过量及硅油进入前房，药物和手术治疗可有效控制眼压。Objective To investigate the causes and treatment of secondary glaucoma after silicone oil tamponade. Methods The data of 256 eyes of 256 cases who suffered secondary glaucoma after vitrectomy combined with silicone oil tamponade in our hospital from Jun. 2008 to Sep. 2013 were retrospectively analyzed. The causes and treatment methods of secondary glaucoma were analyzed. Results Fifty - three eyes among 256 eyes occurred secondary glaucoma. The intraocular pressure was 9.0 - 30.5 mmHg（ 1 mmHg = 0. 133 kPa） in 39 eyes of 53 cases after the treatmcnt with anti-inflammatory and anti glaucoma drugs ; The intraocular pressure was 9.0 - 19.5 mmHg in 8 eyes after anti - glaucoma surgeries ; six eyes underwent partial silicone oil removal treatment and the postoperative intraocular pressure was 8.6 - 20.2 mmHg. Conclusion The incidence rate of secondary glancoma in this group is 20. 7% and the possible causes are postoperative inflammation, scleral buckling, lensectomy, panretinal laser photocoagulation, excessive silicone oil tamponade and silicone oil flowing into the anterior chamber. The drug and operation treatment can effectively control the intraocular pressure.

关 键 词：玻璃体切除术 硅油填充 青光眼 继发性 

分 类 号：R779.6[医药卫生—眼科]