目的:探讨穿透性角膜移植术(penetrating keratoplasty,PK)后继发性青光眼(post-penetrating keratoplasty glaucoma,PPKG)的病因、分类及防治措施。方法:对197例206眼穿透性角膜移植进行回顾性分析。结果:其中52例52眼(25.2%)诊断为PPKG;34例34眼经联合药物治疗后眼压得到控制;18例18眼行手术或激光治疗后眼压控制良好。结论:PK围手术期的正确处理能够降低继发性青光眼的发生率。根据PPKG的不同病因进行不同治疗,疗效满意。

·AIM:To investigate the etiology,classification and management of post-penetrating keratoplasty glaucoma(PPKG).·METHODS:Totally 52 cases 52 eyes with secondary glaucoma after penetrating keratoplasty(PK)(197 cases,206 eyes)were retrospectively analyzed of etiology,correlated factors and treatment methods.·RESULTS:The intraocular pressure(IOP)of 34 cases became normal after drug treatment.18 cases received operation or laser therapy,in which all cases had normal IOP.·CONCLUSION:Accurate perioperative management can decrease the incidence of PPKG.The majority of secondary glaucoma can be controlled by different therapies according to different causes.·

R779.65