摘要
真性小眼球继发青光眼施行滤过手术而失明者并不罕见,尤其是在手术虽比较普及但手术水平参差不齐的情况下。闭角型青光眼在手术前必须注意眼轴长短,以了解是否存在真性小眼球。简单的三步判断法可对之进行筛选。对真性小眼球继发青光眼的治疗要注重总体设计。选择用药时应慎用缩瞳剂。手术治疗须充分考虑到术后严重并发症如恶性青光眼、葡萄膜渗漏、脉络膜脱离、驱逐性出血等的高风险性,采用的术式应根据其发病机理及患者眼部结构的不同而设计。术前与患者及家属密切沟通及手术医师的精湛技巧是保证手术成功的重要因素。
It is not rare for nanophihalmos secondary glaucoma that filtration operation results in blindness, especially after the filtration operation is more popular, but surgical skill is not enough even for every surgeon. Thus the eye axis measurement is emphasized for patients with angle closure glaucoma in order to affirm whether it is nanophthalmos, and a simple three-step method is introduced to recognize nanophihalmos quickly. We should stress the general detail design for treatment of nanophthalmos secondary glaucoma. It should be careful to use miotic agents during its treatment. If have to do surgeries, we should know their high risks and can correctly deal with complications such as malignant glaucoma, uveal effusion, choreid detachment, expulsive hemorrhage and so on. Its surgical fashions will depend on pathophysiological mechanisms and structure of ocular anterior segment of patients with nanophthalmos. Good communications with patients and their relatives and excellent operative skills are important factors for ensuring successful surgeries. (Ophthalmol CHN, 2007, 16: 6-8)
出处
《眼科》
CAS
2007年第1期6-8,共3页
Ophthalmology in China