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外伤性白内障术后低眼压的原因及处理
引用本文:吕勇. 外伤性白内障术后低眼压的原因及处理[J]. 眼外伤职业眼病杂志, 2003, 25(7): 456-457
作者姓名:吕勇
作者单位:450052,郑州大学第一附属医院眼科
摘    要:目的 探讨外伤性白内障术后低眼压的原因及处理方法。方法 对外伤性白内障人工晶状体植入术后低眼压27例进行病因分析及治疗结果分析。结果 27例中11例结膜和巩膜切口都有渗漏,3例巩膜隧道切口闭合不良伴结膜下积液,2例人工晶状体袢的固定缝线过长而形成引流,8例为玻璃体切除术后引起的一过性低眼压,2例睫状体脱离,1例脉络膜脱离。根据导致其低眼压的原因进行治疗。所有患者治疗后眼压恢复正常,均在10mmHg以上(1mmHg=0.133kPa)。结论 外伤性白内障人工晶状体植入术后低眼压原因多种,针对导致其低眼压的原因进行治疗,可取得较满意效果。

关 键 词:外伤性白内障 术后 低眼压 原因 处理方法 人工晶状体植入术

Ocular hypotension after traumatic cataract surgery
LU Yong. Ocular hypotension after traumatic cataract surgery[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2003, 25(7): 456-457
Authors:LU Yong
Affiliation:LU Yong. Department of Ophthalmology,The First Teaching Hospital of Zhengzhou U-niversity,Zhengzhou,Henan 450052,China
Abstract:Objective To evaluate the causes of hypotony after traumatic cataract extraction. Methods 27 cases of hypotony after traumatic cataract extraction were observed and managed. Results The results showed that in all these cases, there were 11 cases of aqueous humor leakage through the former conjuncitva and scleral tunnel incision,3 cases of untight occlusion of scleral tunnel incision, 2 cases of too long hap-tic fixing suture,8 cases of postvitrectomy,2 cases of ciliary body detachment, 1 case of choroidal detachment. Intraocular pressure returned to normal after treatment. Conclusion There are several causes of hypotony after traumatic cataract extraction. The hypotony should be treated upon their causes.
Keywords:Traumatic  Cataract surgery  Ocular hypoten-sion  Causes  Treatment
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