硅油充填术后继发性青光眼临床分析

Clinical anzlysis about secondary glaucoma after silicone oil filling

关键词:  玻璃体切除  硅油  继发性青光眼

Key words:  vitrectomy  silicone oil  secondary glaucoma

摘要:

［目的］探讨硅油充填术后继发青光眼的常见原因及处理方法。［方法］ 回顾2003年5月~2006年10月大连医科大学第二临床学院228例（228眼）行玻璃体切割联合硅油填充术后出现继发青光眼的原因、类型及处理方法。［结果］术后随访1周～12个月228眼中发生继发青光眼48眼（占20.7％）。常见的原因是硅油对于房角的阻塞引起闭角型青光眼及对于小梁网滤过功能的损害引起开角型青光眼。同时可以看到硅油在眼内存留时间越长继发青光眼的发生率越高。其中有32眼在硅油取出后眼压即恢复正常，13眼给予局部点降眼压的眼药水眼压控制在正常范围，3眼经行手术后眼压恢复正常。［结论］硅油充填术后继发青光眼发生率较高，经有效的治疗可以取得较好的效果。

Abstract:

［Objective］To investigate relevant factors and treatment methods for secondary glaucoma after silicone oil filling.［Methods］Clinical records for 228 cases(228 eyes) with secondary glaucoma after vitrectomy and silicone oil filling in our hospital during May.2003- Oct.2006 was to study the causes 、types and treatment methods.［Results］Forty-eight eyes with secondary glaucoma was analyzed in 228 eyes after surgery 1 wk~12 mo. There were 20.7% incidences. Secondary glaucoma was always caused by occlusion of silicone oil on angle of chamber leads to the angle-closure glaucoma and lesion of trabecular meshwork's strain function leads to open angle glaucoma .The longer the time of persisting in eyes is ,the higher the incidence of secondary glaucoma will be.It can be seen that the incidence rate of secondary glaucoma.There were 32 eyes recover normal among them .13 eyes control common range by eye drop but the intraocular pressure of 3 eyes recover common by operation.［Conclusions］A high incidence of secondary glaucoma can be show after the silicone oil filling but it can give satisfactory result by effective treatment.