| 硅油填充术后急性难治性青光眼的临床处理 |
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| 引用本文： | 梅海峰,邢怡桥,徐娅,杨安怀. 硅油填充术后急性难治性青光眼的临床处理[J]. 武汉大学学报(医学版), 2008, 29(6): 814-815 |
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| 作者姓名： | 梅海峰 邢怡桥 徐娅 杨安怀 |
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| 作者单位： | 武汉大学人民医院眼科,湖北,武汉,430060 |
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| 摘 要： | 目的:探讨玻璃体切除硅油填充术后患者发生急性难治性青光眼的处理方法。方法:回顾性分析2000年1月至2006年12月在我院行玻璃体切除术后患者发生急性难治性青光眼的9例患者,探讨其可能的病因及临床处理方法。结果:所有9例患者经综合降眼压治疗及放出部分硅油等处理,患眼眼压仍不能有效控制,后于硅油填充术后14-18 d行硅油取出、全氟丙烷气体填充术,患眼眼压降至正常范围,且视网膜复位良好。结论:对于玻璃体切除硅油填充术后发生急性难治性青光眼的患者,综合降眼压治疗无效时,可于硅油填充术后14-18 d行硅油取出、全氟丙烷气体填充术,术后既能达到控制眼压的目的,又不影响视网膜的复位。
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| 关 键 词： | 玻璃体切除 硅油填充 青光眼 硅油取出 |
Clinical Therapy of Acute Refractive Glaucoma After Silicone Oil Tamponade |
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| MEI Haifeng,XING Yiqiao,XU Ya,YANG Anhuai. Clinical Therapy of Acute Refractive Glaucoma After Silicone Oil Tamponade[J]. Medical Journal of Wuhan University, 2008, 29(6): 814-815 |
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| Authors: | MEI Haifeng XING Yiqiao XU Ya YANG Anhuai |
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| Affiliation: | MEI Haifeng,XING Yiqiao,XU Ya,YANG Anhuai Dept.of Ophthalmology,Renmin Hospital of Wuhan University,Wuhan 430060,China |
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| Abstract: | Objective: To evaluate the clinical therapy of acute refractive glaucoma after Pars Plana vitrectomy and silicone oil tamponade.Methods: Nine patients with acute refractive glaucoma after silicone oil tamponade during Jan 2000 to Dec 2006 were retrospectively analyzed.The cause and clinical treatment were discussed.Results: For all the nine patients,IOP could not be controlled by applying drugs and removing a part of silicone oil until all the silicone oil were removed and C3-F8 was tamponade for 14-18 days.Conclusion: It is effective to treat the patients with acute refractive glaucoma after silicone oil tamponade by silicone oil removing and C3F8 tamponade. |
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| Keywords: | Pars Plana Vitrectomy Silicone Oil Tamponade Glaucoma Silicone Oil Remove |
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