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复合式小梁切除术治疗外伤性晶状体半脱位继发青光眼
引用本文:李武军,丁艳林. 复合式小梁切除术治疗外伤性晶状体半脱位继发青光眼[J]. 国际眼科杂志, 2006, 6(4): 933-934
作者姓名:李武军  丁艳林
作者单位:719000,中国陕西省榆林市中医院北方医院眼科;719000,中国陕西省榆林市中医院北方医院眼科
摘    要:目的:探讨复合式小梁切除术治疗外伤性晶状体半脱位继发青光眼的效果。方法:对外伤性晶状体半脱位范围不超2个象限,晶状体混浊较轻,药物难以控制的继发性青光眼,选择无晶状体脱位和玻璃体嵌顿的象限施行复合式小梁切除术。结果:随访6~16mo,7例继发青光眼病例6例术后眼压<21mmHg(1mmHg=0.133kPa),1例局部用药眼压控制正常,3例视力提高。结论:选择无玻璃体嵌顿象限施行复合式小梁切除术,是治疗外伤性晶状体半脱位继发青光眼的有效方法。

关 键 词:眼外伤  晶状体半脱位  青光眼  小梁切除术
收稿时间:2006-07-24
修稿时间:2006-07-27

Ttrabeculectomy for secondary glaucoma induced by traumatic subluxation of lens
Wu-Jun Li,Yan-Lin Ding. Ttrabeculectomy for secondary glaucoma induced by traumatic subluxation of lens[J]. International Eye Science, 2006, 6(4): 933-934
Authors:Wu-Jun Li  Yan-Lin Ding
Affiliation:Department of Ophthalmology, Northern Hospital of Traditional Chinese Medicine of Yulin City, Yulin 719000, Shaanxi Province, China
Abstract:AIM: To investigate the effect of combined trabeculectomy on the secondary glaucoma induced by traumatic subluxation of lens. METHODS: In 7 patients (7 eyes) with clearing lens dislocation less than two quadrants and secondary glaucoma difficult to be controlled by medicine, we chose combined trabeculectomy in the quadrant without lens dislocation and vitreous incarceration. RESULTS: Six patients' intraocular pressure (IOP) restored normally (less than 21mmHg) after operation among the 7 patients with follow-up of 6-12 months. The other patient's IOP could be controlled by medicine. Three patients obtained improvements in visual acuities. CONCLUSION: Combined trabeculectomy in the quadrant without lens dislocation and vitreous incarceration is an effective treatment for the secondary glaucoma induced by traumatic subluxation of lens.
Keywords:ocular trauma  subluxation of lens  glaucoma  trabeculectomy
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