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目的:探讨继发性青光眼的临床常见原因及其治疗效果。方法:回顾性分析77例继发性青光眼患者的临床资料,根据原发病变分为眼外伤相关性青光眼、晶状体相关性青光眼、炎症相关性青光眼、眼部手术相关性青光眼及其他5组。治疗予以原发病变治疗联合抗青光眼对症治疗,分析原因并对治疗效果予以评价。结果:各组出院眼压较入院眼压显著降低(P<0.05)。晶状体相关性青光眼组术后视力较术前明显改善(P<0.05),余各组出院和入院矫正视力无明显差异(P>0.05)。结论:继发性青光眼原发病变具有多样性,其治疗须同时考虑眼压和原发病变。
Objective: To investigate the common clinical causes of secondary glaucoma and its therapeutic effect. Methods: The clinical data of 77 patients with secondary glaucoma were retrospectively analyzed. According to the primary lesion, they were divided into ocular trauma related glaucoma, lens associated glaucoma, inflammation related glaucoma, ocular surgery associated glaucoma and other 5 groups. Treatment of primary lesions treated with anti-glaucoma symptomatic treatment, analyze the causes and evaluation of the treatment effect. Results: The IOP in each group was significantly lower than that in hospital (P <0.05). The postoperative visual acuity of the lens-associated glaucoma group was significantly improved compared with that before operation (P <0.05), and there was no significant difference in the corrected visual acuity of the other groups (P> 0.05). Conclusions: The primary lesions of secondary glaucoma are diverse, and the treatment should consider the intraocular pressure and the primary lesion at the same time.