论文部分内容阅读
目的 观察对外伤性晶状体脱位继发青光眼患者行眼内窥镜下睫状突光凝(endoscopiccyclophotocoagulation ,ECP)联合晶状体玻璃体切除手术的效果。设计 回顾性研究。研究对象 36例(36只眼)晶状体脱位继发青光眼患者。方法 对36例继发性青光眼患者采取晶状体玻璃体切除联合ECP术(采用810nm二极管激光器,能量2 0 0～10 0 0mW ,光凝时间30 0～6 0 0ms ,光凝范围10 0～2 0 0°) ,其中17只眼行人工晶状体缝合固定术。主要指标 眼压,视力,并发症。结果 36例术前平均眼压(34 11±14 0 0 )mmHg。31只眼随诊3～15个月,末次平均眼压(17 2 2±4 17)mmHg。眼压控制率86 11%(31/36 )。另外4只眼眼压失控,再次行抗青光眼手术。36只眼术中无疼痛反应,未发现严重并发症。结论 玻璃体手术联合眼内窥镜下睫状突光凝治疗晶状体脱位继发青光眼,手术直观,操作简单,眼压控制较好,并发症较少。
Objective To observe the effect of endoscopic cyclophotocoagulation (ECP) combined with vitrectomy on secondary glaucoma with traumatic lens dislocation. Design retrospective study. Thirty-six patients (36 eyes) with lens dislocation secondary to glaucoma were studied. Methods Thirty - six patients with secondary glaucoma underwent vitrectomy combined with ECP (using 810nm diode laser with energy of 200 ~ 1000mW, photocoagulation time of 30 0 ~ 60 ms, photocoagulation range of 10 0 ~ 200 °), of which 17 eyes were sutured intraocular lens. The main indicators of intraocular pressure, visual acuity, complications. Results 36 cases of preoperative average intraocular pressure (34 11 ± 14 0 0) mmHg. Twenty-one eyes were followed up for 3-15 months, the mean intraocular pressure was (1722 ± 4.17) mmHg. Intraocular pressure control rate of 86 11% (31/36). The other four intraocular pressure control, once again anti-glaucoma surgery. No pain reaction was found in 36 eyes, no serious complications were found. Conclusions Vitreous surgery combined with ciliary process photocoagulation under endoscopic ciliary processes for the treatment of secondary glaucoma with dislocation of the lens is intuitive and easy to operate with good intraocular pressure control and less complications.