穿透性角膜移植术后继发性青光眼的临床研究

Clinical research of post-penetrating keratoplasty glaucoma

目的:探讨穿透性角膜移植术(penetrating keratoplasty,PK)后继发性青光眼(post-penetrating keratoplasty glaucoma,PPKG)的病因、分类及防治措施。方法:对197例206眼穿透性角膜移植进行回顾性分析。结果:其中52例52眼(25.2%)诊断为PPKG;34例34眼经联合药物治疗后眼压得到控制;18例18眼行手术或激光治疗后眼压控制良好。结论:PK围手术期的正确处理能够降低继发性青光眼的发生率。根据PPKG的不同病因进行不同治疗,疗效满意。

AIM： To investigate the etiology, classification and management of post-penetrating keratoplasty glaucoma （PPKG）. METHODS： Totally 52 cases 52 eyes with secondary glaucoma after penetrating keratoplasty（PK） （197 cases, 206 eyes ） were retrospectively analyzed of etiology, correlated factors and treatment methods. RESULTS： The intraocular pressure （lOP） of 34 cases became normal after drug treatment. 18 cases received operation or laser therapy, in which all cases had normal lOP. CONCLUSION ： Accurate perioperative management can decrease the incidence of PPKG. The majority of secondary glaucoma can be controlled by different therapies according to different causes.