26例恶性青光眼临床治疗回顾分析

Clinical treatment of 26 cases of malignant glaucoma

目的探讨恶性青光眼药物及手术治疗方法及其疗效。方法回顾恶性青光眼不同治疗方法及手术时机。平均随访(21.7±6.5)个月。主要指标矫正视力、眼压、前房深度。结果药物治疗有效者2眼(7.1%),YAG激光晶状体后囊膜及玻璃体前界膜切开4眼(1 4.3%),抽吸玻璃体水囊联合前房成形术5眼(1 7.6%),房角分离前房形成联合超声乳化白内障摘除人工晶状体植入联合前段玻璃体切除1 7眼(60.7%)。结论恶性青光眼保守治疗效果差,多需晶状体玻璃体联合手术治疗;保守治疗失败的患者及时采用手术治疗多可获得较好的保存视力效果。

Objective To analyze the treatment and outcomes for malignant glaucoma. Methods Treatments and time for sugery were analyzed retrospectively, corrected visual acuity, lOP and depth of anterior chamber were observed. The mean duration of follow-up was （21.7±6.5 ） months. Results Two eyes（7.1% ） were effe- tive with drug therapy, YAG lazer. Conclusions The outcome of conservative treatment for malignant glau- coma is bad, and combined lenseetomy with vitrectomy is always used. patients with failure of conservative treatment could obtained better corrected visual acuit when treated with surgery.