眼挫伤继发性青光眼的类型及治疗分析

发布时间：2018-01-01 16:31

本文关键词：眼挫伤继发性青光眼的类型及治疗分析　出处：《中国当代医药》2016年30期 　论文类型：期刊论文

【摘要】：目的探讨眼挫伤继发性青光眼的主要类型及有效的治疗对策。方法选取2013年1月~2016年1月在我院诊治的眼挫伤继发性青光眼患者64例,分析其临床分型、治疗方法及临床效果。结果眼内积血型共39例,治疗后37例有效,有效率为94.87%;晶状体脱位型共13例,治疗后11例有效,有效率为84.62%;粘连增殖型共6例,治疗后5例有效,有效率为83.33%;房角挫伤型共8例,治疗后7例有效,有效率为87.50%;治疗后,上述5种类型眼挫伤继发性青光眼的眼压均较治疗前明显降低(P0.01);出院时无光感1例,光感~0.05者11例,0.05~0.30者13例,0.30者39例,随访6个月视力较出院时增加有35例(54.69%),不变24例(37.50%),减退5例(7.81%)。结论眼挫伤容易导致继发性青光眼,临床治疗需根据其具体分型采取针对性措施,才能有效低眼压,提高患者视力水平。
[Abstract]:Objective to explore the main types of secondary glaucoma with ocular contusion and effective treatment methods 64 cases of secondary glaucoma with contusion were selected from January 2013 to January 2016 in our hospital. Results there were 39 cases of intraocular accumulative blood group, 37 cases were effective and the effective rate was 94.87 cases. There were 13 cases of lens dislocation. After treatment, 11 cases were effective and the effective rate was 84.62%. There were 6 cases of adherent proliferative type, 5 cases were effective after treatment, the effective rate was 83.33; There were 8 cases of angle contusion. After treatment, 7 cases were effective and the effective rate was 87.50%. After treatment, the IOP of the five types of secondary glaucoma was significantly lower than that before treatment. There was no light sensation in 1 case at discharge, 11 cases with light sensation 0.05 or 0.050.30, 13 cases with 0.30 and 39 cases with 0.30. The visual acuity increased in 35 cases after 6 months compared with that at discharge. No change was found in 24 cases (37. 50%) and decreased in 5 cases (7. 81%). Conclusion Eye contusion is easy to lead to secondary glaucoma, and clinical treatment needs to take targeted measures according to its specific classification to effectively lower IOP. Improve the visual acuity of patients.
【作者单位】：内蒙古自治区包头市一机医院眼科;
【分类号】：R779.1;R775
【正文快照】： 眼挫伤是因机械性外力导致的眼球或眼附属器损伤,例如眼球内出血、房角损伤、晶状体脱位等眼内结构病变,并在此基础上合并高眼压导致继发性青光眼,极大地损害了患者的视功能[1-2]。了解眼挫伤继发性青光眼的危险因素,研究不同类型继发性青光眼的治疗方法,对于疾病的早期预防和

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