| 原发性青光眼滤过术后眼压不降的原因分析 |
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| 引用本文： | 雷帅臣 陈桂敏. 原发性青光眼滤过术后眼压不降的原因分析[J]. 眼外伤职业眼病杂志, 1998, 20(4): 305-306 |
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| 作者姓名： | 雷帅臣 陈桂敏 |
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| 作者单位： | 河南省鲁山县人民医院眼科!467300(雷帅臣，王惠芳)，河南省宝丰铁路医院(陈桂敏) |
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| 摘 要： | 对64例72眼原发性青光眼滤过术后眼压不降的原因进行分析，结果表明各种原因所致滤过泡不形成或形成不良33眼（46．0％），睫状环阻塞性青光眼14例17眼（23．6％），引流道失效19眼（26．4％），包裹性囊样包3眼（4．2％）。其中46％以上的术后眼压不降病例是可以避免的，关键在于提高手术操作技能，术前术后恰当处理。术中术后抗代谢药物和应用可调整缝线是非常有用的措施。
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| 关 键 词： | 青光眼 滤过手术 眼压不降 |
Analysis of the causes of the uncontrollable intraocular pressure after primary glaucoma filtering operations |
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| Lei Shuaichen, Wang Huifang, Chen Cuimin.. Analysis of the causes of the uncontrollable intraocular pressure after primary glaucoma filtering operations[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 1998, 20(4): 305-306 |
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| Authors: | Lei Shuaichen Wang Huifang Chen Cuimin. |
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| Abstract: | The reason of 64 cases (72 eyes) of uncontrollable ittraocular presure after glaucoma filtering operations were analized, the results cemonstrate that various reasons results in filtering bleb unformed (33eyes, 46.0% ),malignant glaucoma (17 eyes of 14 cases,23 .6% ), ineffective of filtering tract (19 eyes,26.4% ), encasulated filtering bleb (3eyes, 4. 2%). More than 46% patienes of uncontrollable intraocular presure after glaucoma filtering operations can be prevented, the main problem is to improve operation technque and manage the patient properly before and after surgery. Apply the antimetabolic drugs and adjustable suture in order to enchance the successful rate of the surgery. |
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| Keywords: | Glaucoma Filtering operation Uncontrollable intraocular pressure |
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