急性闭角型青光眼自发性前房出血临床分析

目的 探讨急性闭角型青光眼自发性前房出血手术特点、手术时机、手术安全性、可行性及治疗效果.方法 回顾分析13例(13只眼)急性闭角型青光眼自发性前房出血行小梁切除术,对术前后视力、眼压、滤过泡、前房积血、手术并发症和手术成功率进行评估.结果 13例(13只眼)患者手术均取得成功,无明显严重并发症,术前有视功能者术后视力均有提高.结论 急性闭角型青光眼自发性前房出血行行小梁切除术手术治疗,不仅可缩短病程和减少并发症,也是安全有效的,应积极采用手术治疗,以避免视功能的进一步损害.

Abstract：

Objective To investigate the operative characteristics, timing of surgery, surgery safety, feasibility and therapeutic effect in spontaneous acute angle-closure glaucoma hyphema. Methods Retrospective analyzed 13 patients (13 eyes) of acute angle-closure glaucoma with spontaneous hyphema whom received trabeculectomy on visual acuity, intraocular pressure, bleb, hyphema, surgical complications and surgical success rate assessment before and after surgery. Results Thirteen patients (13eyes) had successful surgery, no serious complications occurred, pre-operative visual acuity with visual function were improved in varying degrees. Conclusions Surgical treatment of spontaneous hyphema in acute angle-closure glaucoma not only can shorten the course and reduce complications, but is safe and effective. Trabeculectomy should be actively performed in order to avoid further damage to visual function.

Clinical analysis of spontaneous hypherna in acute angle-closure glaucoma

Objective To investigate the operative characteristics, timing of surgery, surgery safety, feasibility and therapeutic effect in spontaneous acute angle-closure glaucoma hyphema. Methods Retrospective analyzed 13 patients (13 eyes) of acute angle-closure glaucoma with spontaneous hyphema whom received trabeculectomy on visual acuity, intraocular pressure, bleb, hyphema, surgical complications and surgical success rate assessment before and after surgery. Results Thirteen patients (13eyes) had successful surgery, no serious complications occurred, pre-operative visual acuity with visual function were improved in varying degrees. Conclusions Surgical treatment of spontaneous hyphema in acute angle-closure glaucoma not only can shorten the course and reduce complications, but is safe and effective. Trabeculectomy should be actively performed in order to avoid further damage to visual function.