外伤性晶状体脱位继发青光眼不同手术的效果

The efficacy of different surgeries for traumatic luxation of lens with secondary glaucoma

目的 评价外伤性晶状体脱位继发青光眼不同时期行抗青光眼手术的治疗效果.方法 2011年至2014年外伤性晶状体脱位继发性青光眼51例（51眼）.其中24眼行晶状体摘出一期联合抗青光眼手术;27眼行单纯晶状体摘出术.结果 联合手术者术后眼压均在正常范围,未联合抗青光眼手术者术后眼压控制不理想,于手术后2个月内有21眼行抗青光眼手术.结论 外伤性晶状体脱位继发青光眼,应行一期晶状体摘出联合抗青光眼手术.

Objective To observe the effect of different surgeries for secondary glaucoma caused by traumatic luxation of lens.Methods Fifty-one eys of 51 cases of traumatic luxation of lens with secondary glaucoma from 2011 to 2014 were collected in this study.Twenty-four eyes accepted lens extraction combined with anti-glaucoma surgery.The other 27 eyes accepted lens extraction only.After operation,the intraocular pressure （IOP） was followed up.Results The IOP was normal in patients who underwent combined surgery.The IOP of the patients who did not receive anti-glaucoma surgery was not controlled well and the anti-glaucoma surgery was performed in 21 eyes within 2 months after lens extraction.Conclusion For the traumatic luxation of lens with secondary glaucoma,lens extraction combined with anti-glaucoma surgery should be performed.