论文部分内容阅读
目的 :探讨真性小眼球继发青光眼的临床特征、治疗方法以及并发症的防治措施。方法 :回顾性分析了 17只真性小眼球继发青光眼的临床资料、治疗方法及病情转归。结果 :9例 17只眼 ,眼轴 14 3 6～ 19 3 3mm ;均合并有高度远视 ,屈光度 + 7 0 0～ + 16 0 0D。所有的患眼均有慢性闭角型青光眼的临床表现。其中 9只进展期的患眼经过激光虹膜手术联合药物治疗使青光眼得到控制 ;有 1只眼在就诊时已是绝对期 ,予以睫状体光凝以改善疼痛症状 ;另外 7只晚期患眼均接受了滤过手术 ,其中 3只在随诊期内出现了严重眼后节并发症导致失明。结论 :真性小眼球继发青光眼的治疗很复杂 ,在早期进行激光虹膜手术是治疗真性小眼球合并青光眼安全有效的方法 ,选择密闭性的眼内手术和预防性的涡静脉减压术、前巩膜切开术、巩膜切除术可以减少滤过手术灾难性的眼后节并发症
Objective: To investigate the clinical features, treatment and complications of true small eye secondary glaucoma. Methods: The clinical data, treatment and prognosis of 17 cases of true small eye secondary glaucoma were retrospectively analyzed. Results: Nine patients (17 eyes) and axial length (1436 ~ 1933mm) were associated with hyperopia and dioptric power of + 700 ~ + 160D. All eyes had clinical manifestations of chronic angle-closure glaucoma. Among them, 9 advanced eyes underwent laser iridectomy combined with medical treatment to control glaucoma. One eye was in absolute phase at the time of treatment and ciliary body photocoagulation was performed to improve the pain symptoms. In addition, Filtered surgery was performed, with 3 of them having severe posterior eye complications during the follow-up period leading to blindness. CONCLUSIONS: The treatment of true small eye secondary glaucoma is very complicated. Early laser iris surgery is a safe and effective method for the treatment of true small eyeball combined with glaucoma. Choosing closed intraocular surgery and prophylactic vortex-venous decompression, Resection and sclerectomy can reduce the disastrous posterior segment complications of filtration surgery