论文部分内容阅读
目的 探讨恶性青光眼手术治疗的远期效果。方法 回顾性分析 1999年 7月至 2 0 0 2年 12月在我院手术治疗的恶性青光眼患者 17例 ( 17眼 )手术方式、术后视力、眼压情况。结果 17例患者 ( 17眼 )中 ,12眼单纯行超声乳化白内障吸除联合后房型人工晶体植入 ,其中 6眼于术后 0 5月～ 10个月病情复发 ,经分别或联合行激光后囊切开、玻璃体前界膜切开、前部玻璃体切除 ,甚至房水引流管植入、睫状体光凝术后才得以缓解。 5眼行超声乳化白内障吸除联合前部玻璃体切除、后房型人工晶体植入 ,未见病情复发。患者的视力较术前提高 ,眼压得到控制。结论 单纯超声乳化吸除白内障联合后房型人工晶体植入对早期或药物治疗能部分缓解的恶性青光眼有效 ;对弥漫性房角关闭、周边虹膜前粘连的顽固病例 ,超声乳化白内障吸除联合前部玻璃体切除、后房型人工晶体植入为较佳选择。
Objective To investigate the long-term effect of surgical treatment of malignant glaucoma. Methods 17 cases (17 eyes) of surgical treatment of malignant glaucoma in our hospital from July 1999 to December 2002 were retrospectively analyzed. The visual acuity and intraocular pressure were observed. Results Of the 17 patients (17 eyes), 12 eyes were treated with phacoemulsification combined with posterior chamber intraocular lens implantation. Among them, 6 eyes recovered from 0 months to 10 months postoperatively. After laser irradiation Cystic incision, anterior vitreorectomy, anterior vitrectomy, or even aortic drainage tube implantation, ciliary body photocoagulation was relieved. 5 phacoemulsification cataract combined with anterior vitrectomy, posterior chamber intraocular lens implantation, no recurrence of the disease. Patients with visual acuity increased preoperatively, intraocular pressure was controlled. Conclusions Simple phacoemulsification combined with posterior chamber intraocular lens implantation in the treatment of malignant glaucoma can alleviate the early or pharmacologic treatment of refractory glaucoma; for diffuse angle closure, peripheral iris premolar adhesions of stubborn cases, phacoemulsification cataract combined with anterior Vitrectomy, posterior chamber intraocular lens implantation for the better choice.