摘要
目的分析原发性闭角型青光眼患者小梁切除术后可能发生恶性青光眼的危险因素。方法行小梁切除术的原发性闭角型青光眼患者共436例542眼。详细记录其年龄、性别、青光眼分型、术前即时眼压、眼轴长度、前房深度、晶状体厚度以及相对晶状体位置。对术后发生恶性青光眼患者和其余患者的各组数据之间差别进行比较,并进行相应的统计学处理。结果在所有患者中,共发生恶性青光眼16例18眼,发生率为3·67%.发生恶性青光眼的患者与未发生组间在性别及分型上无显著性差异(P=0.83,P=0.15),而在年龄和术前眼压上存在显著性差异,恶性青光眼组的年龄明显小于未发生组(P=0·004),术前眼压则明显高于对方(P=0.000)。恶性青光眼患者的眼轴、前房深度和晶状体厚度都明显小于未发生组(P=0·001,P=0.018,P=0.002),但2组间相对晶状体位置无明显差别(P=0.080)。结论年龄相对较轻、术前高眼压及短眼轴是闭角型青光眼患者术后发生恶性青光眼的危险因素。
Objective To analyze the risk factors of malignant glaucoma after trabeculectomy in primary angle closure glaucoma （PACG）. Methods Four hundred and thirty-six patients （542 eyes） with PACG were performed with trabeculectomy. Age, sex, typing of glaucoma, intmocular pressure （IOP）, length of axis oculi, depth of anterior chamber, thickness and location of lens were recorded and compared between those who developed malignant glaucoma postoperatively and those undeveloped. P, esults Sixty patients （18 eyes） developed malignant glaucoma after tmbeculectomy. Patients who developed malignant glaucoma postoperatively were much younger than those undeveloped（P = 0. 004）, and IOP preoperatively much higher（P = 0. 000）. The length of axis oculi, depth of anterior chamber and thickness of lens were smaller in these patients than that of eyeballs undeveloped（P = 0.001, P = 0. 018, P = 0. 002）. Conclusion Relatively young patients with high IOP preoperatively and short axial length are likely to develop malignant glaucoma after trabeculectomy.
出处
《眼科新进展》
CAS
2006年第4期287-288,共2页
Recent Advances in Ophthalmology
关键词
青光眼
睫状环阻滞
危险因素
glaucoma
ciliary ring blocking
risk factor
