睫状环阻滞性青光眼的阶梯治疗临床分析

发布时间：2018-02-26 14:18

本文关键词： 睫状环阻滞性青光眼药物治疗手术　出处：《眼科新进展》2014年11期 　论文类型：期刊论文

【摘要】：目的探讨睫状环阻滞性青光眼的临床治疗方法及效果分析。方法回顾性分析2006年3月至2013年6月经我院治疗的14眼睫状环阻滞性青光眼的临床资料,首先采用药物治疗,治疗无效者及时手术治疗。手术方法:抽吸玻璃体水囊联合前房重建术4例4眼;前段玻璃体切割联合白内障超声乳化联合人工晶状体植入联合局部后囊切开术(对于人工晶状体眼采取晶状体后囊切开联合前部玻璃体切割术)4例4眼。结果经药物治疗后,6眼病情得到缓解,4眼在药物治疗的同时行玻璃体内水囊抽吸联合前房重建术;4眼在上述治疗无效基础上进一步手术治疗,其中3眼行前段玻璃体切割联合白内障超声乳化联合人工晶状体植入联合局部后囊切开术,另1眼为白内障术后患者,行后囊切开联合前部玻璃体切割术。术后随访3~6个月,术后眼压(16.378±4.308)mmHg(1 kPa=7.5 mmHg),与术前(36.539±2.739)mmHg差异有统计学意义(P0.05);术后前房深度全部恢复正常且稳定(2.423±0.379)mm,与术前(0.613±0.185)mm差异有统计学意义(P0.05)。结论对于术后发生的睫状环阻滞性青光眼,采取由简单到复杂的阶梯式治疗,能够取得较好的临床疗效。
[Abstract]:Objective to investigate the clinical treatment and effect of ciliary ring block glaucoma. Methods the clinical data of 14 eyes of ciliary ring block glaucoma from March 2006 to 2013 were analyzed retrospectively. Methods: 4 cases (4 eyes) with vitreous water bag aspiration combined with anterior chamber reconstruction; Anterior vitrectomy combined with phacoemulsification and intraocular lens implantation combined with local posterior capsulorotomy (4 eyes of 4 cases) with posterior capsule incision and anterior vitrectomy for intraocular lens (IOL). After drug treatment, 6 eyes were relieved and 4 eyes were treated with intravitreous water bag aspiration combined with anterior chamber reconstruction at the same time of drug therapy. Three eyes were treated with anterior vitrectomy, phacoemulsification, intraocular lens implantation and local posterior capsulectomy. Postoperative intraocular pressure (IOP) of 16.378 卤4.308 卤4.308 kPa=7.5 HgG was significantly different from that of preoperation (36.539 卤2.739 mm Hg), and the depth of anterior chamber returned to normal and stable (2.423 卤0.379 mm), which was significantly different from that of preoperative group (0.613 卤0.185 mm). Conclusion there is a significant difference in ciliary block after operation. Adopting the step-by-step treatment from simple to complex can obtain better clinical curative effect.
【作者单位】：郑州大学第四附属医院眼科河南省眼科医院;
【分类号】：R779.6

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