晶状体脱位继发青光眼手术方法选择

目的：探讨晶状体脱位继发青光眼的手术方法及其治疗效果。方法：对晶状体脱位继发青光眼32例（34只眼），根据不同原因及晶状体脱位状态不同，采取晶状体摘除加前段玻璃体切除术，小梁切除术，晶状体摘除及前段玻璃体切除联合小梁切除术，有8只植入前房型人工晶状体。结果：术后视力提高18只眼，保持不变16只眼。术后6个月眼压全部控制，最低12mmHg(1mmHg=0.133kPa），最高24mmHg。结论：根据不同病因和晶状体不同的脱位状态选择不同的手术方式，能有效地治愈由晶状体脱位而继发的青光眼。

Selection of operative methods for glaucoma secondary to dislocation of lens

Objective:To evaluate the operative methods and therapeutic efficiencies for glaucoma secondary to dislocation of lens.Methods:In 32 cases(34 eyes) of glaucoma secondary to dislocation of lens,various operative methods were used,depending on the causes and positions of the dislocated lens: extraction of lens combined with anterior vitrectomy,trabeculectomy or combination of these 3 operations.In 8 cases intraocular lens of anterior chamber type were implanted.Results:Postoperatively,vision improved in 18 cases,while remained the same in the other 16 cases.Intraocular pressure were under control in all cases 6 months postoperatively,the lowest being 12mmHg and the highest 24mmHg.Conclusion:Depending on the causes and positions of the dislocated lens,different operative methods can be used and effectively cure the glaucoma secondary to dislocation of lens.