硅油填充术后急性难治性青光眼的临床处理

Clinical Therapy of Acute Refractive Glaucoma After Silicone Oil Tamponade

目的:探讨玻璃体切除硅油填充术后患者发生急性难治性青光眼的处理方法。方法:回顾性分析2000年1月至2006年12月在我院行玻璃体切除术后患者发生急性难治性青光眼的9例患者,探讨其可能的病因及临床处理方法。结果:所有9例患者经综合降眼压治疗及放出部分硅油等处理,患眼眼压仍不能有效控制,后于硅油填充术后14-18 d行硅油取出、全氟丙烷气体填充术,患眼眼压降至正常范围,且视网膜复位良好。结论:对于玻璃体切除硅油填充术后发生急性难治性青光眼的患者,综合降眼压治疗无效时,可于硅油填充术后14-18 d行硅油取出、全氟丙烷气体填充术,术后既能达到控制眼压的目的,又不影响视网膜的复位。

Objective： To evaluate the clinical therapy o rectomy and silicone oil tamponade. Methods： N silicone oil tamponade during Jan 2000 to Dec 20 clinical treatment were discussed. Results： For a by applying drugs and removing a part of silicone f acute refractive glaucoma after Pars Plana vitine patients with acute refractive glaucoma after 06 were retrospectively analyzed. The cause and 11 the nine patients, lOP could not be controlled oil until all the silicone oil were removed and C3- F8 was tamponade for 14-18 days. Conclusion： It is effective to treat the patients with acute refractive glaucoma after silicone oil tamponade by silicone oil removing and C3F8 tamponade.