先天性青光眼视网膜脱离的手术治疗  

Retinal detachment in congenital glaucoma

作　　者：赵丽丽[1] 魏文斌[1] 翁乃清[1] 陈惠茹[1] 刘武[1] 王景昭[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科,北京100730

出　　处：《眼外伤职业眼病杂志》2004年第2期93-95,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨先天性青光眼视网膜脱离的特点及手术疗法。方法　对 2 8例 3 0眼先天性青光眼视网膜脱离的手术治疗进行回顾性分析。结果　手术治疗的 2 8眼中 2 6眼解剖性成功 ,所有眼术后眼压均增高。随访 2 0例 2 1眼 ,再次发生视网膜脱离 5眼。最终视力提高 9眼 ,不变 7眼 ,下降 5眼。最终眼压正常 14眼 ,增高 4眼 ,低眼压 3眼。结论　视网膜脱离范围和PVR的严重程度是影响先天性青光眼视网膜脱离患者视功能预后的主要因素。及时治疗并保持眼压的稳定 ,可以保持和提高视功能。Objective To investigate the clinical characteristics of retinal detachment in congenital glaucoma and related surgical treatments.Methods 28 patients(30 eyes)with congenital glaucoma suffering from retinal detachment were reviewed retrospectively. Results 26 of 28 eyes which undergone retinal detachment surgical treatments were anatomic recovered. The postoperative rise of intraocular pressure took place in all eyes. Follow-up was made on 20 patients(21 eyes), retinal detachment recurrent in 5 eyes. The final visual acuity increased in 9 eyes, and the intraocular pressure of 14 eyes were normal. Conclusions The area of retinal detachment and degree of proliferative vitreoretinopathy (PVR) are identified as the two most significant factors affecting functional prognoses.To stabilize the intraocular pressure,a regular examination is mandatory.

关 键 词：先天性青光眼 视网膜脱离 治疗 外科手术 

分 类 号：R779.6[医药卫生—眼科]