硅油继发青光眼的发病相关因素及治疗的初步探讨

探讨硅油继发青光眼的发病相关因素及治疗。方法对行玻璃体切割，硅油注入术的２７５例患者术后随访结果进行回顾性研究。结果硅油继发青光眼的发病率为１１．３％，随着硅油在眼内存留时间的延长，其发病率增高。

Correlative factor and management of silicone oil induced glaucoma

Objective To discuss the correlative factor and management of silicone oil induced glaucoma. Methods The postoperative courses of 275 cases that had undergone pars plana vitrectomy and silicone oil injection were reviewed retrospectively. Results The morbidity of silicone oil induced glaucoma was 11.3%.The morbidity was higher if the duration of silicone oil in vitreous cavity was longer.There was no statistical difference in the morbidity between the phakic and the aphakic eyes.There was a statistically significant difference in the morbidity between the emulsified silicone oil cases and not emulsified cases.The intraocular pressure was controlled to normal in 9 of 31 cases with medical treatment,and in the other cases with surgical and medical treatment. Conclusion Silicone oil induced glaucoma was a common occurrence after intravitreal silicone oil injection.Emulsification of silicone oil and the duration of silicone oil in vitreous cavity may play important roles in the development of glaucoma.Intraocular pressure can be controlled with medical and/or surgical treatment.