摘要
目的探讨手术控制恶性青光眼风险的经验体会。方法对临床收治的32例41只眼眼轴短、前房浅的原发闭角型青光眼患者，抗青光眼手术降低恶性青光眼风险进行回顾性分析。结果手术前后视力差异无统计学意义（P〉0．05）；眼压术前术后比较具有统计学意义（t=19．40，P〈0．01），术前眼压平均为（34．61±7．42）mmHg，术后第7天平均（13．20±2．22）mmHg。前房深度术前术后无明显变化，无统计学意义（P〉0．05）。结论针对眼轴短、前房浅的原发闭角型青光眼患者，预防性地给予前房注气，术毕阿托品眼膏和糖皮质激素的应用，能有效控制恶性青光眼的发生。
Objective To explore for surgery control of concurrent malignant glaucoma. Methods A retrospective study was set up for operative treatment of 32 patients （41 eyes） who suffered from angle-closure glaucoma with short axial length and shallow anterior chamber. Results Visual acuity had no significant difference between before and after surgery （P 〉0.05）. There was statistical differ- ence between the lOP before treatment （34.61±7.42mmHg） and after treatment （13.20±2.22mmHg） （P 〈0.01）. The depth of anterior chamber also had no significant difference between before and after surgery （Z = -0.108, P 〉0.05）. Conclusions According to short optic axis and shallow anterior cham- ber of primary angle-closure glaucoma patients, given anterior chamber gas injection, atropine eye ointment and glucocorticoids application preventively, can effectively control the occurrence of malig- nant glaucoma.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第7期916-918,共3页
Chinese Journal of Practical Ophthalmology
关键词
恶性青光眼
预防对策
Malignant glaucoma
Prevention measures
