CAJ | 학술논문

目的探讨手术控制恶性青光眼风险的经验体会.方法对临床收治的32例41只眼眼轴短、前房浅的原发闭角型青光眼患者,抗青光眼手术降低恶性青光眼风险进行回顾性分析.结果手术前后视力差异无统计学意义(P＞0.05);眼压术前术后比较具有统计学意义(t =19.40,P＜0.01),术前眼压平均为(34.61±7.42) mm Hg,术后第7天平均(13.20±2.22) mm Hg.前房深度术前术后无明显变化,无统计学意义(P＞0.05).结论针对眼轴短、前房浅的原发闭角型青光眼患者,预防性地给予前房注气,术毕阿托品眼膏和糖皮质激素的应用,能有效控制恶性青光眼的发生.
목적 탐토수술공제악성청광안풍험적경험체회.방법 대림상수치적32례41지안안축단、전방천적원발폐각형청광안환자,항청광안수술강저악성청광안풍험진행회고성분석.결과 수술전후시력차이무통계학의의(P＞0.05);안압술전술후비교구유통계학의의(t =19.40,P＜0.01),술전안압평균위(34.61±7.42) mm Hg,술후제7천평균(13.20±2.22) mm Hg.전방심도술전술후무명현변화,무통계학의의(P＞0.05).결론 침대안축단、전방천적원발폐각형청광안환자,예방성지급여전방주기,술필아탁품안고화당피질격소적응용,능유효공제악성청광안적발생.
Objective To explore for surgery control of concurrent malignant glaucoma.Methods A retrospective study was set up for operative treatment of 32 patients (41 eyes) who suffered from angle-closure glaucoma with short axial length and shallow anterior chamber.Results Visual acuity had no significant difference between before and after surgery (P ＞0.05).There was statistical difference between the IOP before treatment (34.61±7.42mmHg) and after treatment (13.20±2.22mmHg)(P ＜0.01).The depth of anterior chamber also had no significant difference between before and after surgery (Z =-0.108,P ＞0.05).Conclusions According to short optic axis and shallow anterior chamber of primary angle-closure glaucoma patients,given anterior chamber gas injection,atropine eye ointment and glucocorticoids application preventively,can effectively control the occurrence of malignant glaucoma.