内窥镜在治疗眼外伤晶体脱位所致继发性青光眼中的应用

发布时间：2018-09-01 20:08

【摘要】：目的探讨内窥镜在治疗眼外伤晶体脱位所致继发性青光眼的临床应用。方法 13例(13眼)眼外伤晶体脱位所致继发性青光眼,根据晶体脱位的不同情况选择不同的手术方法摘除晶体,并在内窥镜直视下经睫状沟行人工晶体缝合固定;术中内窥镜观察房角情况,对于房角损伤180°的患眼,联合内窥镜下睫状体光凝术。术后观察眼压、视力及眼内组织反应情况,对结果进行统计学分析。结果 13例(13眼)术前药物控制下眼压(26.8±7.9)mm Hg,视力0.02~0.5,平均0.08±0.22。术后1周眼压(16.1±4.3)mm Hg,视力0.32±0.14,与术前比较差异均有统计学意义(P0.05)。随访(7.1±3.1)个月,末次复诊时眼压下降至(15.2±3.8)mm Hg(P0.05),视力提高至0.40±0.19(P0.05)。术后随访中未发现严重的手术并发症。结论眼外伤晶体脱位所致继发青光眼的手术治疗中应用内窥镜使手术直观、定位准确,提高了手术安全性,能取得相当理想的手术效果。
[Abstract]:Objective to explore the clinical application of endoscope in the treatment of secondary glaucoma caused by traumatic lens dislocation. Methods Thirteen cases (13 eyes) of secondary glaucoma caused by traumatic lens dislocation were treated with intraocular lens suture and fixation through ciliary sulcus under endoscope. Intraoperative endoscope was used to observe the angle of the atrium. For the injured eyes with 180 掳angle, the ciliary body photocoagulation was performed under the endoscope. Postoperative intraocular pressure, visual acuity and intraocular tissue reaction were observed and the results were statistically analyzed. Results in 13 cases (13 eyes), intraocular pressure (IOP) was controlled by drugs (26.8 卤7.9) mm Hg, visual acuity 0.020.5, mean 0.08 卤0.22). IOP 1 week after operation (16.1 卤4.3) mm Hg, visual acuity 0.32 卤0.14) was significantly different from that before operation (P0.05). After follow-up of (7.1 卤3.1) months, intraocular pressure decreased to (15.2 卤3.8) mm Hg () and visual acuity increased to 0.40 卤0.19 (P0.05) at the last visit. No severe postoperative complications were found during postoperative follow-up. Conclusion the application of endoscope in the surgical treatment of secondary glaucoma caused by lens dislocation of ocular trauma can make the operation intuitionistic and accurate, improve the safety of operation, and obtain quite ideal surgical results.
【作者单位】：广州军区广州总医院眼科;
【分类号】：R779.6

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