眼外伤后继发性青光眼87例临床分析

目的：分析眼外伤后继发性青光眼的主要病因及治疗方法。方法：回顾性分析我院2008-06/2010-06收治的87例87眼眼外伤后继发性青光眼患者的临床资料和治疗方法。结果：眼外伤后继发性青光眼可由多种原因引起,主要原因包括眼内出血40眼（46%）、晶状体源性27眼（31%）、前房角挫伤14眼（16%）、眼内炎症6眼（7%）,根据不同的眼外伤原因制定不同的治疗方案,经药物和手术治疗后随访3～12mo,79眼眼压控制在正常水平,控制率为91%;视力提高91%。结论：眼外伤后继发性青光眼的发病原因及机制比较复杂,应根据不同的病因及时治疗,控制眼压,提高视力。

Clinical analysis of secondary glaucoma after ocular trauma in 87 cases

AIM:To analyse the main causes of glaucoma after ocular trauma and treatment methods. METHODS:A retrospective analysis was conducted on 87 cases (87 eyes) with secondary glaucoma after ocular trauma in our hospital from June 2008 to June 2010, with clinical data and treatment methods. RESULTS:Secondary glaucoma after ocular trauma can be caused by a variety of reasons, the main reasons included intraocular hemorrhage in 40 eyes (46%), lens source in 27 eyes (31%), anterior chamber angle contusion in 14 eyes (16%), and intraocular inflammation in 6 eyes (7%).According to the different ocular trauma causes,different treatment regimens were made.The drugs and operation treatment were followed up for 3-12 months, 79 eyes were with intraocular pressure control in the normal level, the control rate was 91%; visual acuity improved in 91%. CONCLUSION:Secondary glaucoma after ocular trauma in the pathogenesis and the mechanism is complex. Timely treatment according to the different etiologies is needed for control of intraocular pressure and improvement of visual acuity.