外伤性晶状体脱位继发青光眼联合手术治疗的临床观察

Clinical observation about combined procedures for traumatic dislocation of lens and secondary glaucoma

关键词:  晶状体脱位  继发性青光眼  玻璃体切除术。

Key words:  dislocation of lens  secondary glaucoma  vitrectomy

摘要:

［目的］ 探讨外伤性晶状体脱位继发青光眼作晶状体摘除术联合玻璃体切割术和/或抗青光眼手术治疗临床疗效。［方法］ 对25例25只眼外伤性晶状体脱位继发青光眼的患者作脱位晶状体摘除、小梁切除、玻璃体切割等多种联合手术。［结果］ 25例患者(25只眼)成功摘除脱位晶状体,22例患者眼压恢复正常,18例患者矫正视力提高。［结论］　晶状体摘除术、小梁切除术、玻璃体切割术等多种联合手术是治疗晶状体脱位继发性青光眼的有效手段。

Abstract:

［Objective］To evaluate the clinical effect of extraction of dislocated lens combined with vitrectomy and antiglaucomatous surgeryfor traumatic dislocation of the lens associated with secondary glaucoma.［Methods］ Combined procedures of extraction of dislocated lens ,vitrectomy and trabeculectomy were performed on 25 eyes of 25 patients with traumatic dislocation of the lens and secondary glaucoma . ［Results］ The dislocated lens were extracted successfully in 25 eyes. The intraocular pressure (IOP) was normal after operation in 22 eyes. Correction visual acuity improved in 18 eyes. ［Conclusions］ Combined procedures of extraction of dislocated lens,vitrectomy and trabeculectomy is an effective way to manage thetraumatic dislocation of the lens associated with second glaucoma.