摘要
目的:探讨眼外伤所致继发性青光眼的主要原因、临床表现及治疗方法。方法:对65例65眼眼外伤所致继发性青光眼的临床表现、病因及治疗方法进行分类与分析。结果:根据病因及临床表现将眼外伤所致继发性青光眼归纳为以下几类:眼内出血24眼(37%);房角挫伤20眼(31%);晶状体脱位或损伤12眼(18%);眼球穿通伤术后9眼(14%)。根据不同的原因进行治疗。随访3～6mo,眼压6～21mmHg(1mmHg=0.133kPa)55例55眼(85%),>21mmHg10例10眼(15%),有56眼(86%)视力有不同程度提高,有4眼(6%)视力下降,术后有2眼发生视网膜脱离。结论:眼外伤所致继发性青光眼除了眼压增高这一危害因素外,还有较为严重的眼内组织损伤,因此在治疗上往往比原发性青光眼更为复杂,预后也较差。
AIM： To investigate the cause , clinical manifestation and treatment of traumatic secondary glaucoma. METHODS： According to the cause, clinical manifestation and treatment, 65 cases （65 eyes） of traumatic secondary glaucoma were analysed and classified. RESULTS：Traumatic secondary glaucoma could be classified as follows ： intraocular hemorrhage 24 eyes （ 37% ）, angle- recession 20 eyes （31%~）, len hazards 12 eyes （18%）, postoperation of perforating injury of eyeball 9 eyes（14%）. The different treatmnets might be used. The lOP of 55 eyes （85%） were 6-21mmHg which were followed up for 3-6 months, and the lOP of 10 eyes （15%） exceeded 21mmHg. The vision acuity of 56 eyes （86%） increased, and 4 eyes（6%） decreasd. Retinal detachment developed in 2 eyes. CONCLUSION： Hazardous factors of traumatic secondary glaucoma enhanced not only intraocular tension but also intraocular tissue damage. Therefore, the therapy of traumatic secondary glaucoma was more complicated than that of primary glaucoma,and its prognosis was not good.
出处
《国际眼科杂志》
CAS
2009年第7期1290-1291,共2页
International Eye Science
