眼外伤所致继发性青光眼的临床分析

Clinical analysis of secondary glaucoma associated with ocular trauma

目的探讨眼外伤所致的继发性青光眼的病因与治疗方法。方法眼外伤所致继发性青光眼50例（50眼），对其致伤原因、临床表现、治疗方法进行临床观察及分析。结果眼外伤所致继发性青光眼由眼挫伤、前房积血、晶状体源性、炎症性粘连等所引起。单纯药物（全身和滴眼）治疗35例（35眼），联合手术治疗（前房冲洗、白内障摘除、小粱切除等）15例（15眼）。治疗后眼压恢复正常者47例（47眼）；眼压高于21mmHg（1mmHg=0．133kPa）者3例（3眼），但较治疗前眼压有所下降。结论眼外伤所致继发性青光眼病因复杂，多为钝挫伤及眼内积血引起，需针对病因积极对症处理，预防并发症的发生，保存视功能。

Objective To study the etiology and treatment of secondary glaucoma induced by ocular trauma. Methods 50 eyes of 50 cases of secondary glaucoma induced by ocular trauma were enrolled in this study. The causes,clinical manifestation, treatment methods were observed and analized. Results Secondary glaucoma induced by ocular trauma was mainly caused by ocular blunt trauma, hyphema, lens source and inflammatory adhesion. 35 eyes were treated with drugs including systemic and eye drops treatment. 15 eyes were treated with combined surgery （ including anterior chamber irrigation, cataract extraction and trabeculectomy）. Intraocular pressure of47eyes returned to normal after treatment. Intraocular pressure of 3 cases （3eyes） was over 21 mmHg, but it was lower than before treatment. Conclusion The causes of secondary glaucoma induced by ocular trauma were very complex. Most of them were blunt trauma and intraocular hemorrhage. It should be aimed at pathogeny to cure actively, prevented the happening of the complications and preserved visual function.