玻璃体切割联合硅油填充术后继发青光眼的原因分析

Correlative Factor of Secondary Glaucoma Following Silicone Oil Retinal Tamponade

目的探讨玻璃体切割联合硅油填充术后继发青光眼的发病因素.方法对215只行玻璃体视网膜手术眼,其中硅油填充眼106只、无硅油填充眼99只进行回顾性研究.结果硅油填充眼组12眼(11.32%),无硅油填充眼组2眼(2.02%)发生继发青光眼.两组比较χ2=6.96,P<0.01.结论继发性青光眼是玻璃体切割联合硅油填充术后常见并发症之一,硅油在眼内填充过量、硅油进入前房、硅油乳化、无晶体眼是青光眼发生的主要因素;药物和手术治疗可有效控制眼压.

Objective To study the correlative factor of secondary glaucoma following silicone oil retinal tamponade. Methods Retrospective analysis was conducted in 215 patients who underwent the vitrectomy. 106 patients were treated by vitrectomy and silicone oil tamponade, follow-up was ranged after operation. Results The secondary 99 patients were only treated by vitrectomy. The glaucoma occurred in 12 eyes （11.32%） of the vitrectomy and silicone oil tamponade group, and occurred in 2 eyes （2.02%） of the vitrectomy group. There were statistically significant differences in the incidence of secondary glaucoma between these two group. （ χ^2 = 6.96, P 〈 0.01） Conclusions Vitrectomy and silicone oil tamponade is an effective therapy on the patients with complicated retinal detachment, but Secondary glaucoma is a common complication after this operation, it is correlated with the quantity of intraocular silicone oil, silicon oil running into the anterior chamber, silicone oil emulsification, aphakia. The control of intraocular pressures requires comprehensive treatment including medicine and surgery.