急性闭角型青光眼术后眼底出血临床探讨

Clinical discussion on postoperative retinal hemorrhage of acute angle-closure glaucoma

目的:探讨急性闭角型青光眼小梁切除术后发生眼底出血的病因及预后。方法:对40例55眼急性闭角型青光眼经小梁切除术治疗的患者于术后1d～1wk在直接检眼镜下进行观察。并对发生眼底出血的患者进行跟踪观察。结果:发生眼底出血患者50眼视力恢复良好,发生黄斑出血者5眼视力不能恢复。结论:造成眼底出血的主要原因与眼压突然降低有关,大多预后较好。

AIM：To explore etiology and prognosis of retinal hemorrhage after trabeculectomy of acute angle-closure glaucoma.METHODS：Fourty cases（55 eyes） of acute angle-closure glaucoma were observed under direct ophthalmoscope 1 day-1 week after trabeculectomy,and the patients with retinal hemorrhage were followed up.RESULTS：Eyesight recovered well in the 50 eyes with retinal hemorrhage and eyesight was not restored in the 5 eyes with macular hemorrhage.CONCLUSION：The main reason for retinal hemorrhage is related with intraocular pressure sudden drops.Most of the prognosis are good.