原发性闭角型青光眼滤过术后恶性青光眼的临床分析

Clinical Analysis of Primary Angle Closure Glaucoma After Glaucoma Filtering Surgery

目的探讨原发性闭角型青光眼滤过术后恶性青光眼的发病因素与治疗效果。方法选取我院收治的90例(90眼)原发性闭角型青光眼患者,术后恶性青光眼28例为实验组,术后未出现恶性青光眼62例为对照组,回顾性分析其临床资料。结果年龄、性别、术前眼压、晶体厚度、眼轴长度、青光眼类型、房角结构是引发术后恶性青光眼的危险因素;所有患者治疗效果比较满意。结论年轻的眼轴长度较短的原发性闭角型青光眼患者在滤过手术后容易出现恶性青光眼并发症,需要加强预防。

Objective To investigate the risk factors and therapeutic effect of primary angle closure glaucoma after glaucoma filtering surgery.Methods 90 cases（90 eyes）with primary angle closure glaucoma in our hospital were selected,experimental group of 28 cases of malignant glaucoma after operation,there were no malignant glaucoma in 62 cases,the control group,the clinical data were retrospectively analyzed.Results Age,sex,preoperative intraocular pressure,lens thickness,axial length,type of glaucoma,and the structure of the angle of the room were the risk factors of postoperative malignant glaucoma. All patients were satisfied with the treatment effect.Conclusion Young patients with primary angle closure glaucoma with shorter axial length are prone to complications of malignant glaucoma after filtering surgery and need to be strengthened to prevent.