挫伤性晶状体脱位合并青光眼手术的临床观察

Clinical investigation of surgery for luxation of lens with secondary glaucoma after ocular contusion.

目的 探讨挫伤性晶状体脱位合并继发性青光眼的临床特点及手术效果。方法 研究分析因挫伤致晶状体脱位继发青光眼手术治疗 5 7例的临床资料。结果 除 1例因年龄较小未检查外 ,术后眼压控制在 2 1mmHg( 1mmHg =0 .133kPa)以下48眼 ,有效率达 85 .71%。 40眼 ( 71.43% )术后视力在 0 0 5以上 ,术后盲目率由术前 80 .36%降至 2 8.5 7%。结论 手术治疗能有效控制眼压并降低手术前致盲率。

Objective To evaluate surgical results for lens luxation with secondary glaucoma without laceration or rupture.Methods A retrospective study of 57 cases(57 eyes) was carried out on contusive dislocation of the lens with secondary glaucoma by surgical treatment.Results The follow up 3～16 month.Our results show that postoperative vision better than 0.05 were 40 eyes (71.43%),and postoperation blind rate was dropped from 80.35% to 28.5%.After surgery 48 eyes(85.71%) intraocular pressure was under 21 mmHg.Conclusion These cases were controlled intraocular pressure and dropped initial blind rate by surgical management.