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目的 :探讨房水引流物植入术后行其他眼科手术可能发生的问题及相应的处理方法。方法 :对我院 1994年 12月至 1999年 6月间进行各类青光眼房水引流物植入术 15 2例 ,术后需行其他手术的 10例患者 ,按常规手术和改良手术所得的结果进行分析评价。结果 :其中按常规手术的 3例患者 ,术中及术后均发生了严重的并发症 ,眼压升高达房水引流物植入前水平。其余 7例经过术中临时性结扎引流管、引流盘周引流区的保护等处理后 ,避免了术中及术后并发症的发生 ,术后追踪观察发现 5例患者眼压控制在 2 1mm Hg以下 ,占 71% ,2例患者加用局部降眼压药物后眼压控制在 2 1mm Hg以下 ,7例患者术后视力均较术前提高 ,获得了较好的手术效果。结论 :由于房水引流物植入术后改变了眼的正常解剖和生理特征 ,术后再行其他眼科手术时 ,必须对手术方式进行改进 ,改良后的手术方式对防止并发症的发生 ,获得较好的手术效果具有重要意义
Objective: To explore the possible problems and corresponding treatment methods of other eye surgery after the drainage of aqueous humor. Methods: From December 1994 to June 1999 in our hospital, all kinds of glaucoma drainage of aortic drainage were performed in 152 cases. After operation, 10 cases underwent other operations. According to the results of conventional surgery and modified surgery For analysis and evaluation. Results: Of the 3 patients undergoing routine surgery, severe complications occurred during and after operation, and the intraocular pressure was elevated up to the pre-implantation level of aqueous humor. The remaining 7 cases after intraoperative temporary ligation of the drainage tube drainage drainage week after the drainage area protection and other treatment to avoid intraoperative and postoperative complications, follow-up observation found that 5 patients with intraocular pressure control in 21mm Hg , Accounting for 71%. The intraocular pressure was controlled below 2 1mm Hg in 2 patients after adding local intraocular pressure lowering (IOP). The visual acuity of 7 patients after operation was higher than that before operation, and the better operation result was obtained. CONCLUSIONS: Due to the altered anatomy and physiology of the eye after implantation of aqueous humor, surgery should be improved in other ophthalmic surgeries after surgery, and improved surgical techniques should be used to prevent the occurrence of complications Good surgical results are of great significance