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目的 了解眼挫伤继发青光眼的危险因素及治疗对策。方法 回顾分析 3 7例眼挫伤继发性青光眼患者发生青光眼的原因、治疗方法及治疗后的情况。将挫伤后继发青光眼分为眼内出血型、房角挫伤型和晶体脱位型 ,分别采用药物治疗、滤过手术及晶体摘除等方法进行治疗。结果 眼挫伤继发青光眼的原因 :眼内出血占 68% ,其中以前房积血多见 ,占 65 % ;房角挫伤占 2 2 % ;晶体脱位占 19%。用药物保守治疗和手术治疗后 ,眼压控制正常占 89%。结论 ①眼内出血是眼挫伤后发生继发性青光眼的主要原因。②手术时机是影响治疗的重要因素 ,不同原因的眼挫伤继发性青光眼应根据具体情况决定治疗手段。
Objective To investigate the risk factors and treatment strategies of secondary glaucoma after eye contusion. Methods Retrospective analysis of causes of 37 cases of glaucoma secondary to glaucoma caused by eye contusion, the treatment methods and the situation after treatment. The secondary glaucoma after contusion was divided into intraocular hemorrhage, room angle contusion and dislocation of the crystal, respectively, by drug treatment, filtration surgery and crystal removal and other methods of treatment. The results of eye contusion secondary glaucoma causes: intraocular hemorrhage accounted for 68%, of which the more common anterior chamber hemorrhage, accounting for 65%; room angle contusion accounted for 22%; dislocation accounted for 19%. Conservative treatment with drugs and surgical treatment, the normal control of IOP 89%. Conclusion ① Intraocular hemorrhage is the main cause of secondary glaucoma after contusion. ② timing of surgery is an important factor affecting the treatment of different causes of eye contusion secondary glaucoma should be based on the specific circumstances of the decision to treatment.