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报道部分穿透性角膜移植术后继发性青光眼 39 例(39 眼),其中发生在本院的病例为 26 例(26 眼),占同期同类手术的 767%(26/339)。临床观察表明, 术后早期发生的继发性青光眼大多与手术操作有关, 临床多表现为瞳孔阻滞型; 后期发生的病例常伴有小梁损害, 或与长时间使用皮质类固醇激素有关。本组病例的术前原发病中, 以角膜溃疡伴角膜瘘的比例最高。作者认为, 正确处理原发病, 不断提高显微手术技术, 对于预防术后继发性青光眼的发生具有重要的临床意义。
Reported partial penetrating keratoplasty in 39 cases (39 eyes) of secondary glaucoma, of which 26 cases (26 eyes) occurred in our hospital, accounting for 767% (26/339) of the same type of surgery in the same period. Clinical observations show that postoperative early secondary glaucoma mostly associated with surgical procedures, the clinical manifestations of pupillary block; the late cases often accompanied by trabecular damage, or prolonged use of corticosteroids. In this group of cases of preoperative primary disease, corneal ulcer with the highest proportion of corneal fistula. The author believes that the correct treatment of the primary disease, and constantly improve the microsurgical techniques for the prevention of postoperative secondary glaucoma has important clinical significance.