| 小梁切除术后影响视力因素的临床分析 |
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| 引用本文： | 李一维. 小梁切除术后影响视力因素的临床分析[J]. 眼科, 2001, 10(4): 215-216 |
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| 作者姓名： | 李一维 |
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| 作者单位： | 广州市第二人民医院眼科广州 510150 |
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| 摘 要： | 目的探讨青光眼患者小梁切除术术后影响视力的因素.方法回顾分析59例74只眼青光眼患者实施小梁切除术对视力的直接影响诸因素.并对视力较术前降低者展开讨论.结果术后视力改变程度59只眼(79.76%)不变和提高;15只眼(20.24%)降低.视力下降者年龄≤60岁者占26.7%,＞60岁者占73.3%.引起视力下降是综合因素,诸如瞳孔散大,晶状体混浊加重,晶状体前囊色素附丽,前房出血等.结论各类青光眼中慢性闭角型及老年伴有全身性疾病者手术后更具有发生视力下降的可能性,视力下降原因大多系多因素综合.
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| 关 键 词： | 青光眼 外科学 小梁切除术 视敏度 治疗 |
| 文章编号： | 1004-4469(2001)04-0215-02 |
Clinical analysis of factors affecting the visual acuity after trabeculectomy |
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| LI Yi wei. Clinical analysis of factors affecting the visual acuity after trabeculectomy[J]. Ophthalmology in China, 2001, 10(4): 215-216 |
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| Authors: | LI Yi wei |
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| Abstract: | Objective:To investigate the factors affection the visual acuity of glaucoma patients after trabeculectomy.Methods:59 patients(74 eyes)with glaucoma treated with trabeculectomy were reviewed retrospectively,especially about the causes of postoperative decreased vision.Results:Postoperative visions were decreased in 15 eyes(20 24%).4 patients were younger than 60 years(26 7%)and 11 patients older than 60 years(73 3%).The factors causing decrease of vision were various:dilated pupil,increased lens opacity,adherence of pigments on anterior lens capsule and hyphema,etc.Conclusion:Patients with chronic angle closure glaucoma and aged patients with systemic disorders may have decrease of vision postoperatively,caused by various factors, |
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| Keywords: | glaucoma/surgery trabeculectomy visual acuity |
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