中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
4期
282-284
,共3页
眼外伤%青光眼,继发性%高眼压%滤过手术
眼外傷%青光眼,繼髮性%高眼壓%濾過手術
안외상%청광안,계발성%고안압%려과수술
Hypertension,itraocular%Glaucoma secondary,traumatic%Trabeculectomy
目的 探讨高眼压下眼外伤致继发性青光眼滤过手术的特点及疗效.方法 经药物治疗无效的眼外伤继发性青光眼31例(31眼)分别行小梁切除术,或激光周边虹膜切除+小梁切除术,观察其疗效.结果 17眼(54.8％)视力较手术前提高,14眼(45.2％)视力无改善；15眼(48.4％)不用降眼压药眼压＜21 mmHg,加用1～2种局部降眼压药眼压控制者11眼(35.5％),5眼(16.1％)需行二次手术；形成功能性滤过泡者21眼(67.7％),非功能性滤过泡者10眼(32.3％).无脉络膜下爆发性出血等严重并发症发生.结论 眼外伤致继发性青光眼在高眼压下行滤过手术如严格掌握适应证、精细操作、个性化处理,仍不失为一种有效的治疗方法.
目的 探討高眼壓下眼外傷緻繼髮性青光眼濾過手術的特點及療效.方法 經藥物治療無效的眼外傷繼髮性青光眼31例(31眼)分彆行小樑切除術,或激光週邊虹膜切除+小樑切除術,觀察其療效.結果 17眼(54.8％)視力較手術前提高,14眼(45.2％)視力無改善；15眼(48.4％)不用降眼壓藥眼壓＜21 mmHg,加用1～2種跼部降眼壓藥眼壓控製者11眼(35.5％),5眼(16.1％)需行二次手術；形成功能性濾過泡者21眼(67.7％),非功能性濾過泡者10眼(32.3％).無脈絡膜下爆髮性齣血等嚴重併髮癥髮生.結論 眼外傷緻繼髮性青光眼在高眼壓下行濾過手術如嚴格掌握適應證、精細操作、箇性化處理,仍不失為一種有效的治療方法.
목적 탐토고안압하안외상치계발성청광안려과수술적특점급료효.방법 경약물치료무효적안외상계발성청광안31례(31안)분별행소량절제술,혹격광주변홍막절제+소량절제술,관찰기료효.결과 17안(54.8％)시력교수술전제고,14안(45.2％)시력무개선；15안(48.4％)불용강안압약안압＜21 mmHg,가용1～2충국부강안압약안압공제자11안(35.5％),5안(16.1％)수행이차수술；형성공능성려과포자21안(67.7％),비공능성려과포자10안(32.3％).무맥락막하폭발성출혈등엄중병발증발생.결론 안외상치계발성청광안재고안압하행려과수술여엄격장악괄응증、정세조작、개성화처리,잉불실위일충유효적치료방법.
Objective To evaluate the effects of trabeculectomy for traumatic secondary glaucoma with high intraocular pressure.Methods 31 cases 31 eyes of traumatic secondary glaucoma were not controlled in normal rage after drug treatment.every case was performed by trabeculectomy or trabeculectomy after laser peripherial iridectomy,therapeutic effect was observed.Results Visual acuity of 17 eyes (54.8％) were inproved,vision of 14 eyes(45.2％ ) were not elevated ; intraocular tension of 15 eyes (48.4％) without drug were under 21mmHg,ocular tension of 11 eyes(35.5％) were controlled by 1 -2 kinds of drugs,operation were executed in 5eyes( 16.1％ ) again ;functional bleb of 21 eyes(67.7％ ),nonfunctional bleb of 10eyes(32.3％ ).All patients had no serious complication (explosive choroidal hemorrhage.etc).Conclusion With strictly controlled indications and precise operation and personalized treatment,trabeculectomy for traumatic secondary glaucoma with high intraocular pressure is safe and effective.
