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[摘要]
目的：探讨外伤性晶状体脱位继发青光眼的手术方法及临床疗效。
方法：晶状体脱位继发青光眼的32例病例中，22例行晶状体玻璃体切除术，7例行晶状体玻璃体切除联合小梁切除术，3例行晶状体玻璃体切除联合青光眼引流阀植入术。随诊1～12mo，观察眼压、视力及并发症等。
结果：患者32例术前平均眼压45.67±14.36mmHg，随访末次眼压16.63±7.94mmHg，其中9～21mmHg者27例，21～24mmHg者4例，>24mmHg者1例。术后矫正视力提高者24例，不变者7例，下降者1例。
结论：根据患者具体情况，选择适当的手术方式，是治疗外伤性晶状体脱位继发青光眼安全、有效的措施。
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[Abstract]
AIM: To explore the methods and effect of operation for secondary glaucoma due to traumatic lens subluxation.
METHODS: Among 32 cases of secondary glaucoma induced by lens dislocation, 22 cases were treated by vitrectomy combined phacectomy; 7 cases were treated by vitrectomy, phacectomy combined trabeculectomy; 3 cases were treated by vitrectomy, phacectomy combined glaucoma valve implantation. They were followed up for 1-12 months. Intraocular pressure(IOP), visual acuity(VA)and complications were observed.
RESULTS: The average IOP of pre-operation was(45.67±14.36)mmHg, the last IOP was(16.63±7.94)mmHg. Among them, the last IOP was 9-21mmHg in 27 eyes, 21-24mmHg in 4 eyes, higher than 24mmHg in 1 eye. Best-corrected visual acuity was improved in 24 eyes, stabilized in 7 eyes and decreased in 1 eye. No complication was observed.
CONCLUSION: Choosing applicable operation according to the situation of every patient is safe and effective.
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