眼外伤玻璃体术后青光眼应用睫状体光凝联合前房穿刺治疗观察

The clinical effect of transscleral diode laser cyclophotocoagulation and paracentesis of anterior chamber in the treatment of traumatic refractory glaucoma following vitrectomy

目的探讨经巩膜睫状体光凝联合前房穿刺术治疗眼外伤玻璃体切除术后难治性青光眼的效果。方法回顾复杂性眼外伤玻璃体手术后难治性青光眼41例（41只眼），采用经巩膜睫状体光凝联合前房穿刺术治疗，术后随访3—12个月。结果41只眼中，手术前眼压是（43．14±12．37）mmHg，术后最后一次随访眼压为（19．76±7．06）mmHg，手术后眼压明显下降，（t=6．5742，P〈0．001）。5只眼视力略有提高，33只眼无变化，3只眼视力下降。术后1只眼眼球萎缩。结论经巩膜睫状体光凝联合前房穿刺术是治疗眼外伤玻璃体手术后难治性青光眼一种安全有效的方法。

Objective To evaluate the clinical effects of transscleral diode laser cyclophotocoagulation and paracentesis of anterior chamber for traumatic refractory glaucoma following vitrectomy. Methods Forty-one cases （41 eyes） with traumatic refractory glaucoma following vitrectomy were received the transscleral diode laser cyclophotocoagulation and paracentesis of anterior chamber, the patients were followed three to twelve months. Results The intraocular pressure （IOP） were （43.14± 12.37） mmHg before treatment. IOP were （19.76± 7.06） mmHg in the lastfollowing-up. IOP was significantly decreased by this surgery （P 〈0.001）. The visual acuity in following-up, 5 eyes was improved, 33 stable and 3 eyes decreased. One eye was atrophiabulbi. Conclusions Transscleral diode laser cyclophotocoagulation and paracentesis of anterior chamber is a safe and effective treatment for traumatic refractory glaucoma following vitrectomy.