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[摘要]
目的:探讨抗青光眼滤过性手术后出现脉络膜脱离的相关因素及治疗措施,总结临床特点。
方法:对457眼青光眼滤过性手术后发生脉络膜脱离的42眼患者进行回顾性分析和总结。
结果:脉络膜脱离发生时间为术后3~7(平均4.51±1.14)d,患者的平均年龄为65.30±3.50岁。通过皮质类固醇类药物、散瞳、高渗剂等治疗,42眼脉络膜脱离全部恢复。治疗所需时间平均为16.50±2.75d。
结论:脉络膜脱离是青光眼滤过性手术后的一个常见并发症,与术前眼压控制不好、术后眼压过低、患者年龄偏大及高血压、糖尿病有关。
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[Abstract]
AIM: To investigate the related factors and treatment of choroidal detachment after glaucoma filtering surgery.
METHODS: The clinical data of 42 eyes with choroidal detachment of 457 eyes undergoing glaucoma filtering were retrospectively analyzed.
RESULTS: Choroidal detachment occurred at 3-7 days after glaucoma filtering surgery, with mean 4.51±1.14 days. The patient's average age was 65.30±3.50 years. Chroidal detachment was reformed by corticosteroids medicine mydriatic drugs hypertonic agent and all recovered, within 16.50±2.75 days.
CONCLUSION: Chroidal detachment is a common complication of glaucoma filtering surgery. The related factors include high intraocular pressure and eyeball congestion before surgery, postoperative low intraocular pressure, diabetes, hypertension and the aged.
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