目的:探讨两种手术方法对恶性青光眼的治疗效果。方法:对12例16眼小梁切除术后的恶性青光眼患者,晶状体核硬度≤2级,视力≥0.1者采取抽吸玻璃体水囊联合前房注气重建(A术)。晶状体核硬度≥3级,视力<0.1者采取抽吸玻璃体水囊、联合白内障囊外摘除+人工晶状体植入+晶状体后囊膜、玻璃体前界膜切开(B术)。结果:所有病例经4～5d药物治疗均无效,其中5例7眼采取A术,有2眼前房形成后又消失,再次行A术后获成功,余均一次性成功。7例9眼采取B术者均全部成功,随访5～13(平均9)mo,全部病例眼压得到控制,前房深度恢复正常,视力得到有效保护,无严重并发症。结论:恶性青光眼采取A,B两种术式可以有效的控制眼压,保护视功能。

·AIM:To investigate the efficacy and safety of two methods in treatment of malignant glaucoma.·METHODS:A total of 12 cases 16 eyes with malignant glaucoma after trabeculectomy were operated by two styles.A style:lens nuclear hardness≤2 class,visual acuity≥0.1 undertook sucking corporis vitre hyponome+restitution with anterior chamber infusion gas.B style:lens nuclear hardness≥3 class,visual acuity<0.1 undertook sucking corporis vitre hyponome+cataract removal out of capsule+ intraocular lens implantation+crystalline lens post-membrane and corporis vitre frontal membrane cutdown.·RESULTS:All eyes were treated with drugs for 4~5 days at first.Five cases 7 eyes were operated with A style,7 cases 9 eyes were operated with B style,all had successful outcomes.·CONCLUSION:The operation for malignant glaucoma with A and B styles can control intraocular pressure and protect visual function.·

R779.6