晶状体玻璃体切除联合睫状体光凝术治疗晶状体脱位继发青光眼  

Vitreolensectomy combined with cyclophotocoagulation for the treatment of secondary glaucoma associated with traumatic lens luxation

作　　者：黄正如[1] 陈海英[1] 陈源[1] 项晓丽[1] 李健[1] 陈可 

机构地区：[1]常熟市第二人民医院眼科,江苏215500

出　　处：《中华眼外伤职业眼病杂志》2017年第11期822-825,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价平坦部玻璃体晶状体切除术联合睫状体光凝术治疗外伤性晶状体脱位继发青光眼的效果。方法对接受平坦部玻璃体晶状体切除术联合睫状体光凝术的外伤性晶状体脱位继发青光眼21例（21眼）的临床资料进行回顾性分析。其中16眼还联合巩膜缝线固定人工晶状体植入术。术后随访6～18个月。结果术后眼压、所需降眼压药物种类均低于术前（P=0．000，P=0．000）；光凝部位睫状体完全萎缩；人工晶状体位置良好；无明显并发症。结论平坦部玻璃体晶状体切除术联合睫状体光凝术治疗晶状体脱位继发青光眼安全有效。Objective To evaluate the efficacy of pars plana vitreolensectomy combined with cyclophotocoagulation for the treatment of secondary glaucoma associated with traumatic lens luxation. Methods The data of 21 eyes of 21 cases with secondary glaucoma associated with traumatic lens luxation were collected and analyzed respectively. Patients received pars plana vitreolensectomy combined with cyclophotocoagulation, and among them 16 eyes combined with scleral fixated-intraocular lens implantation. The follow-up time was 6-18 months. The intraocular pressure （lOP）, the number of anti-glaucoma medications, the position of intraocular lens and complications were observed. Results The postoperative IOP was significantly decreased（P = 0. 000）. The average number of anti-glaucoma medications was significantly reduced after surgery （ P =0.000）. The cyclophotocoagtdated ciliary processes were atrophied completely and the intraocular lenses were well-positioned. No complication associated with eyclophotocoagulation was observed. Conclusion Pars plana vitreolensectomy combined with cyclophotocoagnlation is a practicable and safe procedure for secondary glaucoma associated with traumatic lens luxation.

关 键 词：青光眼 继发性 晶状体脱位 外伤性 睫状体光凝术 玻璃体晶状体切除术 经平坦部 

分 类 号：R779.6[医药卫生—眼科]