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目的 :探讨复杂性视网膜脱离玻璃体切割硅油注入继发青光眼的发病相关因素及治疗。方法 :对玻璃体切割硅油注入 36 2只眼患者术后随访结果进行回顾性研究。结果 :本组硅油术后继发青光眼发病率 11 6 % ,随着硅油在眼内时间延长继发青光眼的发病率增高。术后无晶体眼 ,硅油进入前房是眼压升高主要原因。其次为硅油乳化。 42只眼注硅油眼继发青光眼患者经药物和 /手术治疗眼压可有效控制。结论 :玻璃体手术硅油充填继发青光眼是术后常见并发症 ,其发病与硅油在眼内时间 ,硅油进入前房 ,硅油乳化有关。经药物和 /手术治疗眼压可有效控制。
Objective: To investigate the related factors and treatment of complicated retinal detachment after vitreoretinal injection of secondary glaucoma. Methods: The postoperative follow-up results of 362 eyes treated with vitrectomy silicone oil were retrospectively studied. Results: The incidence of postoperative glaucoma in this group was 116%. The incidence of secondary glaucoma increased with the prolongation of silicone oil in the eyes. No postoperative aphakia, silicone oil into the anterior chamber is the main reason for increased intraocular pressure. Followed by silicone oil emulsion. 42 eyes Note Silicone Eyes Secondary glaucoma patients treated by intraocular pressure and / or surgery can be effectively controlled. Conclusion: Vitreous surgery silicone oil filling secondary glaucoma is a common postoperative complications, the incidence of silicone oil in the eye time, silicone oil into the anterior chamber, silicone oil emulsion. After drug and / or intraocular pressure treatment can be effectively controlled.