眼钝挫伤房角后退性青光眼110例回顾性分析

Retrospective analysis of angle-recession glaucoma after eye contusion in 110 cases

目的探讨眼钝挫伤房角后退型青光眼的病因、发病特点及治疗方法。方法收集2002年12月至2012年12月在我院住院或门诊治疗的110例(110只眼)钝挫伤房角后退性青光眼患者的相关临床资料,进行回顾性分析。结果 110例(110只眼)眼钝挫伤房角后退性青光眼发病与房角后退范围有关,与房角损伤程度无关;另外早发型者72例(65.45%),迟发型38例(34.55%),表明发病以早发型为主;应用抗代谢药物的复合小梁切除术是有效的治疗方法。结论眼钝挫伤房角后退性青光眼临床表现不一,应进行长期随诊观察眼压、视野变化,预防视力和视野的损害。

OBJECTIVE To study the pathogenesis, characteristic of clinical manifestation and treatment for angle-recession glaucoma after eye contusion. METHODS A total of 110 subjects who underwent treatment for angle-recession glaucoma after eye contusion in ophthalmology department, Liaocheng People＇s Hospital were collected from December 2002 to December 2012. All the clinical data was used to do a retrospective study. RESULTS Angle-recession glaucoma had nothing to do with the degree of the injury but the range of recession. The percentage of 65.45of all the cases were early-on- set while 34.55% were late-onset, showing that most cases were early-onset. The most efficient treatment method was trabeculectomy combined with mitomycin C. CONCLUSIONS The clinical manifestation of angle-recession glaucoma after eye contusion differed from each other. So we should close monitor IOP and visual field changes in order to prevent damages to visual acuity and visual field as early as possible.