小梁切除联合羊膜植入治疗ICE综合征继发青光眼

目的评价抗青光眼滤过性手术联合羊膜植入治疗虹膜角膜内皮综合征(Iridocorneal endothelialsyndrome,ICE综合征)继发青光眼的疗效.方法对已确定为ICE综合征,用局部降眼压药眼压控制不良的9例继发性青光眼病人实施小梁切除术,术中联合羊膜植入,并对其术后情况追踪观察.结果经8～26个月的随访观察,6例6眼(66.67%)眼压控制在21 mmHg(1 mmHg=0.133 kPa)以下,其中1例须使用局部降眼压药.结论小梁切除联合羊膜植入能一定程度地提高ICE综合征继发青光眼的手术成功率.     

剥脱综合征继发青光眼(附一例报告)

剥脱综合征是一种广泛的眼基底膜疾患,易合并白内障和青光眼,临床上易漏诊。现将我们遇到的一例报告如下。１病例简介患者男,８５岁,因左眼视朦３年余来我院就诊。右眼２０年前行白内障摘除术后视物不清至今。患者３年前无明显诱因出现左眼视朦,不伴眼红痛及其他不适...     

眼球钝挫伤继发青光眼二例报告

例1:张××,男,34岁,1987年2月26日因左眼胀痛,视物不清1个月,诊断眼球钝挫伤继发青光眼住院。入院前1个月左眼被5×5×2cm木块击伤,10天后发病,曾去     

重视Sturge-Weber综合征继发青光眼的治疗

Sturge-Weber综合征继发青光眼系难治性青光眼之一.目前对其治疗存在的主要问题是,药物治疗效果较差且存在潜在副作用,手术操作难度大,术中及术后脉络膜渗漏等严重并发症的发生率较高,术后远期瘢痕化严重.在手术治疗时应根据患者的具体情况注重手术适应证的选择、完善手术前检查、采取多种措施预防手术并发症的发生.对现有的手术方式、远期效果与安全性应开展前瞻性多中心临床试验进行验证.     

重视治疗Sturge-Weber综合征继发青光眼的

Sturge-Weber综合征继发青光眼系难治性青光眼之一。目前对其治疗存在的主要问题是,药物治疗效果较差且存在潜在副作用,手术操作难度大,术中及术后脉络膜渗漏等严重并发症的发生率较高,术后远期瘢痕化严重。在手术治疗时应根据患者的具体情况注重手术适应证的选择、完善手术前检查、采取多种措施预防手术并发症的发生。对现有的手术方式、远期效果与安全性应开展前瞻性多中心临床试验进行验证。     

剥脱综合征及其手术并发症

目的 分析剥脱综合征的发病原因,探讨青光眼白内障联合手术的并发症及其发生原理与注意事项。方法 观察12例剥脱综合征患者的临床进程,2例行白内障联合抗青光眼手术。结果 部分剥脱综合征患者无任何症状而体检发现,2例联合手术患者术后炎症反应较重,1例术后后发障YAG激光后囊膜切开引起人工晶状体半脱位。结论 剥脱综合征患者常合并白内障,需行青光眼白内障联合手术。该类患者的晶状体悬韧带与睫状体的连接较松弛,故常发生人工晶状体移位;术后炎症反应重,恢复时间长,全身及局部皮质类固醇治疗,效果尚满意。     

基底动脉尖综合征继发青光眼1例

基底动脉尖综合症继发青光眼甚为罕见,我院曾遇到1例,现报告如下.     

小梁切除术联合丝裂霉素治疗虹膜角膜内皮综合征继发性青光眼

目的：为评价抗青光眼滤过手术联合应用丝裂霉素治疗虹膜角膜内皮（ICE）,综合征继发性青光眼的疗效。方法：对已确诊为ICE综合征,用局部降眼压药眼压控制不良的11例继发青光眼病人实施小梁切除手术,术中使用丝裂霉素,然后对其术后情况进行追踪观察。结果：经6-50个月的随访观察,6例（6只眼,54.5%）眼压控制在21mmHg以下,其中2例须使用局部降眼压药。结论：小梁切除术联合丝裂霉素能一定程度地提高ICE综合征继发性青光眼手术成功率。     

Weill-Marchesani综合征继发青光眼手术治疗的新观察

目的探讨Weill-Marchesani综合征继发青光眼的手术治疗方法。设计回顾性小样本病例系列。研究对象2009年6月至2010年1月在北京同仁医院住院手术治疗的年龄13~32岁的Weill-Marchesani综合征继发青光眼晚期患者3例。方法 2例为晶状体半脱位继发青光眼,采取晶状体及前部玻璃体切除术联合Ahmed阀植入术或直视下眼内睫状体光凝术。1例为人工晶状体(IOL)眼继发闭角型青光眼,采取Ahmed阀植入术联合前部玻璃体切除术。主要指标眼压。结果术后随访4~6个月。采取Ahmed阀植入术联合手术的2例患者不用药物眼压控制在21 mm Hg以下;采取眼内睫状体光凝术的1例患者局部用2种降眼压药物眼压稳定控制在21 mm Hg以下。1例术后早期发生严重脉络膜脱离,1例术后早期出现恶性青光眼,经保守治疗恢复。结论本文有限的病例结果提示,Weill-Marchesani综合征继发青光眼采用晶状体及前部玻璃体切除术联合青光眼引流阀植入术或眼内睫状体光凝术可有效地控制眼压。     

三联手术治疗剥脱综合征继发青光眼一例

患者男性76岁，10年前诊为双眼老年性白内障。2年前随诊时发现瞳孔缘及晶状体前囊有灰白色头皮屑样物质沉积，房角镜检查房角亦有类似物质沉积。房角为宽角。视力右眼0.1，左眼0.15。显然验光视力不提高。眼压右眼31mmHg，左眼36mmHg，晶状体核黄色混浊，视盘双眼C／D0.4。视野：右眼正常，左眼可见旁中心暗点。诊断：双眼剥     

Sturge-Weber综合征继发青光眼的手术治疗

目的 总结Sturge-weber(sws)继发青光眼的手术治疗效果.方法 选自1999年11月至2005年12月连续6例10只眼SWS病例,对其进行手术治疗.观察手术近期及远期的眼压控制结果及并发症发生情况.结果 术前眼压25.81～50.62mmHg,平均34.3mmHg.术后近期眼压14.57～30.82mmHg,平均22.22mmHg,远期1例失访外眼压全部控制正常.眼底视盘没有进行性改变.没有术中术后.并发症发生.结论 对SWS病例严格掌握手术适应证,术前充分控制眼压,术中精细操作,仍可获得较高的手术成功率.     

眼铁沉着症继发青光眼

眼铁沉着疲继发青光眼罕见。我们收治1例限内异物6年发生典型开角青光眼。根据临床资料，作了房水细胞学及小梁组织病理学检查。报告如下：韩XX，男，38岁，井下工人，住院号：对四人因左眼胀痛伴有偏头痛，恶心，呕吐8天。诊断继发性青光眼而收住人院。病史：患者于6年前在井下作业时，左眼被喷浆机击伤。当时不能睁眼，伴疼痛，即收住院。检查治疗经过：球结膜轻度充血，角膜中央可见Zrnm斜形角膜穿孔伤口已闭合，前房深浅正常，房水清晰，瞳孔圆形，大小对光反应正常，晶体透明，经X光线眼眶拍片报告：限内有枚小金属异物，试取异物未…     

Sturge-Weber综合征继发青光眼的手术治疗

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in child-hood with Sturge Weber syndrome (SWS) and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients (10 eyes) with SWS and secondary glaucoma. Results The mean intraocular pressure (IOP) was 34.3mmHg (25.81～50.62 mmHg) preoperatively. ARe, surgery, the mean lOP in all cases was 22.22mmHg ( 14.75～30.82 mmHg) and in the end of follow-up,IOP of 5 patients were controlled to nor-real. We have not observed any intraopemtive or postoperative complications. Conclusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.     

Sturge-Weber综合征继发青光眼的手术治疗

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in child-hood with Sturge Weber syndrome (SWS) and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients (10 eyes) with SWS and secondary glaucoma. Results The mean intraocular pressure (IOP) was 34.3mmHg (25.81～50.62 mmHg) preoperatively. ARe, surgery, the mean lOP in all cases was 22.22mmHg ( 14.75～30.82 mmHg) and in the end of follow-up,IOP of 5 patients were controlled to nor-real. We have not observed any intraopemtive or postoperative complications. Conclusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.     

Sturge-Weber综合征继发青光眼的手术治疗

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in child-hood with Sturge Weber syndrome (SWS) and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients (10 eyes) with SWS and secondary glaucoma. Results The mean intraocular pressure (IOP) was 34.3mmHg (25.81～50.62 mmHg) preoperatively. ARe, surgery, the mean lOP in all cases was 22.22mmHg ( 14.75～30.82 mmHg) and in the end of follow-up,IOP of 5 patients were controlled to nor-real. We have not observed any intraopemtive or postoperative complications. Conclusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.     

Sturge-Weber综合征继发青光眼的手术治疗

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in child-hood with Sturge Weber syndrome (SWS) and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients (10 eyes) with SWS and secondary glaucoma. Results The mean intraocular pressure (IOP) was 34.3mmHg (25.81～50.62 mmHg) preoperatively. ARe, surgery, the mean lOP in all cases was 22.22mmHg ( 14.75～30.82 mmHg) and in the end of follow-up,IOP of 5 patients were controlled to nor-real. We have not observed any intraopemtive or postoperative complications. Conclusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.     

Sturge-Weber综合征继发青光眼的手术治疗

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in child-hood with Sturge Weber syndrome (SWS) and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients (10 eyes) with SWS and secondary glaucoma. Results The mean intraocular pressure (IOP) was 34.3mmHg (25.81～50.62 mmHg) preoperatively. ARe, surgery, the mean lOP in all cases was 22.22mmHg ( 14.75～30.82 mmHg) and in the end of follow-up,IOP of 5 patients were controlled to nor-real. We have not observed any intraopemtive or postoperative complications. Conclusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.     

Sturge-Weber综合征继发青光眼的手术治疗

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in child-hood with Sturge Weber syndrome (SWS) and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients (10 eyes) with SWS and secondary glaucoma. Results The mean intraocular pressure (IOP) was 34.3mmHg (25.81～50.62 mmHg) preoperatively. ARe, surgery, the mean lOP in all cases was 22.22mmHg ( 14.75～30.82 mmHg) and in the end of follow-up,IOP of 5 patients were controlled to nor-real. We have not observed any intraopemtive or postoperative complications. Conclusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.     

有晶体眼硅油入前房继发青光眼的手术处理

目的：总结前房硅油排出术治疗有晶体眼硅油入前房继发青光眼的临床效果。方法：对６例玻璃体切除,硅油填充术后有晶体眼硅油入前房者,行１２点位角膜缘穿刺注入Ｈｅａｌｏｎ,６点位角膜缘切开排除硅油,悬韧带断裂超过２点钟同时行６点位虹膜周边切除术。结果６眼术后眼压控制正常、硅油在位、视网膜在位、除１例角膜轻度混浊外无其他并发症。结论：采用Ｈｅａｌｏｎ注入硅油排出虹膜周边切除术治疗有晶体眼硅油入前房继发青光眼