眼外伤相关性青光眼的临床分析

目的分析外伤性青光眼的发病原因及相应的治疗方法。方法选取2008年7月至2012年12月在我院确诊的眼外伤继发的青光眼病例,根据发病原因不同,采取药物及手术治疗,记录视力提高及眼压下降的情况。结果根据受伤后引起青光眼的临床原因分类,其中眼内积血55例,前房角挫伤31例,晶状体损伤源性6例,眼内炎症/外伤性虹膜睫状体炎3例。根据受伤原因及眼压下降情况分别予药物及手术治疗,随访6个月至2年,85例(89.5%)患眼眼压控制在正常范围,80例(84.2%)视力提高有不同程度的提高。结论选取合适的治疗方法,能有效的提高患者的视力及降低眼压,最大程度的维持患者的视功能。

Clinical analysis of secondary glaucoma after ocular trauma

Objective We aimed to analyze the main causes and treatment of glaucoma after ocular trauma. Methods Retrospective analysis was conducted on 95 cases （95 eyes） with secondary glaucoma after ocular trauma in our hospital from July 2008 to December 2012. Intraocular pressur （IOP） and visual acuity were measured before and after treatment. Results Secondary glaucoma after ocular trauma can be caused by a variety of reasons, the main reasons included intraocular hemorrhage in 55 eyes （58%）, anterior chamber angle contusion in 31 eyes（33% ）, lens source in 6 eyes（6% ）, and intraocular inflammation in 3 eyes （3% ）. According to the different ocular trauma causes, different treatment was made. Followed up for 6-24 months, intraocular pressure was in the normal level in 85 patients （ 89.5% ） and visual acuity improved in 80 patients （84.2%）. Conclusion Suitable treatment according to the different etiologies is needed for control of intraocular pressure and improvement of visual acuity.