CAJ | 학술논문

目的探讨睫状环阻塞性青光眼综合治疗的效果.方法 16例(19眼)睫状环阻塞性青光眼,7例(8眼)进行散瞳、皮质类固醇、降眼压等药物治疗,9例(11眼)进行品状体超声乳化、前段玻璃体切除、后囊环形撕开及人工晶状体植入术.结果 4例(5眼)经药物治疗前房恢复正常、眼压正常,12例(14眼)多联手术后均获得正常前房深度和眼压.结论睫状环阻塞性青光眼是多机制混合存在的难治性青光眼,需采用药物及多联手术相结合的治疗方法.
목적 탐토첩상배조새성청광안종합치료적효과.방법 16례(19안)첩상배조새성청광안,7례(8안)진행산동、피질류고순、강안압등약물치료,9례(11안)진행품상체초성유화、전단파리체절제、후낭배형시개급인공정상체식입술.결과 4례(5안)경약물치료전방회복정상、안압정상,12례(14안)다련수술후균획득정상전방심도화안압.결론 첩상배조새성청광안시다궤제혼합존재적난치성청광안,수채용약물급다련수술상결합적치료방법.
Objective To investigate clinical method and effect for ciliary block glaucoma. Methods There were 19 eyes ( 16 cases) of ciliary block glaucoma. Mydriatic, glucocorticosteroid, ocular hypotensive agents were given to 7cases (8 eyes) as medicinal treatment. Phacomusification, anterior vitrectomy,PCCC and IOL implantation were performed on 9 cases ( 11 eyes) as surgical treatment. Results Normal anterior charmber deepth and intraocular pressure was achieved in 4cases (5 eyes ) after medicinal treatment, the other 3 eyes that the IOP did not relieved had undergone combined surgery. The 12 cases ( 14 eyes) after combined surgery also ac hived normal anterior chamber depth and normal IOP. Conclusion Ciliary block glaucoma is kind of obstinate glaucoma cased by a lot of mechanism. medicinal combined surgical treatment is needed for ciliary block glaucoma.