论文部分内容阅读
目的:观察探讨抽水囊联合前房成形术对睫状环阻滞性青光眼的适应证及临床疗效。方法:对18例20眼,经药物保守治疗无效的睫状环阻滞性青光眼,完善UBM等检查,行抽除玻璃体腔水囊联合前房成形术。结果:本组病例前房7眼完全消失,13例为不同程度变浅,但UBM检查均后房消失;眼压5眼≤21mmHg,15眼>24mmHg;6例术中放出不等量脉络膜上腔积液;20眼均抽出玻璃体水囊积液;经本方法治疗后,15眼抗睫状环阻滞性青光眼治疗一次性成功,5眼无效,改行其它方法。结论:1.抽水囊联合前房成形术是早期睫状环阻滞性青光眼,尤以虹膜晶状体隔前移为主要发病机理者的一种简单有效的治疗方法;2.后房消失是本病特征之一,房水逆流玻璃体腔水囊形成是本病的特征之二;3.眼压升高不是本病的特征性诊断指征,当睫状环阻滞性青光眼伴有脉络膜脱离时,眼压并不升高。
Objective: To observe the curative effect of pouch combined with anterior chamberoplasty on ciliary loop-induced glaucoma. Methods: Eighteen patients (20 eyes) with ciliary loop obstructive glaucoma who were ineffective by conservative treatment were examined by UBM, and vitrectomy combined with anterior chamberoplasty was performed. Results: The anterior chamber completely disappeared in 7 cases, and 13 cases were lighter in varying degrees. However, the posterior chamber disappeared in UBM examination. The intraocular pressure in 5 eyes was ≤21 mmHg and the diameter was 15 mm> 24 mmHg in 6 cases. Hydronephrosis; 20 eyes were extracted vitreous fluid; after treatment by this method, 15 eyes with anti-cyclical glaucoma treatment of one-time success, 5 were ineffective, diverted to other methods. Pneumocystis anterior chamber angioplasty is a simple and effective treatment for early cycloplegic glaucoma, especially iris lens advancement as the main pathogenesis; 2 disappearance of the posterior chamber is the disease One of the characteristics of the formation of aqueous hysteroscopic vitreous humor formation is the characteristics of the disease two; 3. IOP is not a characteristic diagnosis of the disease indications, when the ciliary ring retardation glaucoma with choroidal detachment, IOP does not increase.