手术治疗外伤致晶体脱位继发青光眼的临床观察

Study on the Effect of Operation with the Secondary Glaucoma by Traumatic Cataract Dislocation

目的：探讨外伤致晶体脱位继发的青光眼进行超乳＋人工晶体缝合＋前段玻切的可行性及临床效果分析。方法对40例外伤后导致晶体脱位继发青光眼，持续高眼压用药不缓解的患者，进行超乳＋人工晶体缝合＋前段玻切手术，术后随访1～3个月，观察术后视力、眼压、术中及术后并发症情况。结果40例患者术后视力均有不同程度的提高。矫正视力：光感～0.1，6例，0.1～0.2，17例，0.3～0.5，12例，0.6～1.0，5例。患者在术后1周内眼压仍有波动，应需联合应用药物，术后1月眼压维持在正常范围内。其中3例3月后仍需应用降眼压药物，但眼压可控制在正常范围内。结论在高眼压状态下，进行超乳＋人工晶体缝合＋前段玻切手术是外伤致晶体脱位继发青光眼的有效治疗方法。

Objective To observe the feasible and clinical effect of phacoemulsiifcation and ciliary sulcus ifxation of intraocular lens combined with anterior segment viterctomy treated the second glaucoma by traumatic cataract dislocation. Methods The phacoemulsiifcation and ciliary sulcus ifxation of intraocular lens combined with anterior segment viterctomy were performed in 40 cases of traumatic cataract dislocation with glaucoma under high intraocular pressure. Follow up 1 to 3 months, observed post-operative the change of the vision ,intraocular pressure and complications. Results The visual acuities of all cases were improved .The best corrected visual acurities were〈0.1 in 6 eyes, 0.1~0.2 in 17 eyes, 0.3~0.5 in 12 eyes, 0.6~1.0 in 5 eyes. The post-operative pressure recovered to normal in all eyes after 1month and 3 eye treated by antiglaucoma medications in 3 month. Conclusion Phacoemulsiifcation and ciliary sulcus ifxation of intraocular lens combined with anterior segment vierctomy in the management of the second glaucoma by traumatic cataract dislocation is safe and effective.