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恶性青光眼的联合手术治疗
引用本文:廖洪斐,陈蔷娟,张向荣,刘永琰,黄宾. 恶性青光眼的联合手术治疗[J]. 中国实用眼科杂志, 2002, 20(9): 673-674
作者姓名:廖洪斐  陈蔷娟  张向荣  刘永琰  黄宾
作者单位:1. 江西医学院第一附属医院眼科,330006
2. 江西东乡县中医院眼科
摘    要:目的 :探讨恶性青光眼的可能的发病机理、手术治疗方案及其疗效。方法 :对 12例 (16眼 )恶性青光眼的发病情况、联合手术的方案以及手术治疗的时机进行分析。结果 :联合手术对药物治疗无效的恶性青光眼患者全部有效。结论 :恶性青光眼发病的机理可能与睫状突、晶状体和玻璃体前界膜之间的异常关系有关。对保守治疗失败的患者应及时采用手术治疗 ,而联合手术治疗方案可取得良好效果。

关 键 词:恶性青光眼  治疗  外科手术
修稿时间:2002-01-01

Combined operations on malignant glaucoma
Liao Hongfei,Chen Qiangjian,Zhang Xianglong. Combined operations on malignant glaucoma[J]. Chinese Journal of Practical Ophthalmology, 2002, 20(9): 673-674
Authors:Liao Hongfei  Chen Qiangjian  Zhang Xianglong
Affiliation:Liao Hongfei,Chen Qiangjian,Zhang XianglongDepartment of Ophthalmology,First Hospital of Jiangxi Medical College,Nanchang 330006,China
Abstract:Objective:To investigate the possible mechanisms,and the surgical treatment of malignant glaucoma. Methods:The onsets and surgical procedures of 16 eyes were analyzed,they received several surgical procedures such as anterior chamber plastic,vitreous fluid drawing and extracapsular cataract extraction(ECCE)with or without intraocular lens(IOL)implantation. Results:Combined surgical procedures were effective for all the cases,especially the combination of anterior chamber plastic,vitreous fluid drawing and ECCE,no matter with or without IOL. Conclusions:The possible mechanism of malignant glaucoma may be concerned with the anatiomical interaction between the ciliary processes,lens,and anterior vitreous face.The combination of several procedures is effective for those who failured to medical therapy.
Keywords:Malignant glaucoma  Mechanisms  Treatment
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