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[摘要]
目的:分析闭角型青光眼患者行复合式小梁切除术后1mo内发生高眼压(>21mmHg)的原因及处理方法。
方法:回顾性研究我院2010-03/2013-03应用复合式小梁切除术治疗闭角型青光眼术后1mo内高眼压的病例34例38眼,分析其原因,总结处理方法。
结果:导致术后早期高眼压的因素有:恶性青光眼8例9眼,巩膜瓣下血凝块及结缔组织阻塞13例15眼,术后前房积血5例5眼,巩膜瓣内切口被虹膜组织嵌顿3例3眼,术前高眼压持续时间长4例5眼,原因不明1例1眼。经对症治疗后,患者眼压均控制在21mmHg以下。
结论:闭角型青光眼行复合式小梁切除术后早期高眼压是由多因素造成的,早期预防、及时处理是手术成功的关键。
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[Abstract]
AIM:To analyze the causes and treatments of high intraocular pressure(>21mmHg)of angle-closure glaucoma underwent compound trabeculectomy 1mo after surgery.
METHODS:This was a retrospective study of our hospital, from March 2010 to March 2013. Thirty-four(38 eyes)of angle-closure glaucoma patients were collected, who underwent compound trabeculectomy with high intraocular pressure(>21mmHg)1mo after operation. We analyzed the causes and summarized the treatments.
RESULTS:The causes which lead to early postoperative high intraocular pressure included malignant glaucoma(9 eyes of 8 cases), blood clot and connective tissue block under the scleral flap(15 eyes of 13 cases), hyphema after surgery(5 eyes of 5 cases), sclera flap incision was incarcerated with iris tissue(3 eyes of 3 cases), preoperative high intraocular pressure for a long time(5 eyes of 4 cases), 1 eye of 1 case for unknown reason. After proper treatments, intraocular pressures of all patients were bellowed 21mmHg.
CONCLUSION:Early postoperative high intraocular pressure of angle-closure glaucoma underwent compound trabeculectomy is caused by various factors, and the early prevention and timely treatment are key points of a successful operation.
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