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目的探讨硅油性青光眼行硅油取出后眼压的控制情况。方法2006年6月~2007年3月收住的84例(84眼)硅油性青光眼患者,按照有无晶状体及有无硅油乳化情况分组,观察硅油取出手术前后的眼压、眼底等情况,并对相关数据进行统计学处理。结果硅油取出手术前后眼压的差异具有统计学意义(P<0.05),术后眼压的控制率为57.1%。其中,有晶体眼组和无晶体眼组术后眼压控制率的差异无统计学意义(P>0.05),而硅油乳化组和未乳化组的差异具有统计学意义(P<0.05),多因素分析术后眼压控制不良的危险因素为硅油乳化和注入病程。结论多于半数的硅油性青光眼可以在硅油取出后恢复正常眼压。硅油未乳化者的成功率高于已乳化者。
Objective To investigate the control of intraocular pressure (IOP) after silicone oil removal in silicone oily glaucoma. Methods Eighty-four patients (84 eyes) with silicone oil glaucoma admitted from June 2006 to March 2007 were divided into groups according to the presence of lens and the presence or absence of silicone oil. The intraocular pressure and ocular fundus were observed before and after silicone oil removal The relevant data for statistical analysis. Results The difference of intraocular pressure before and after silicone oil removal was statistically significant (P <0.05). The postoperative IOP control rate was 57.1%. There was no significant difference between the two groups (P> 0.05), but there was a significant difference between silicone emulsion group and non-emulsion group (P <0.05), and more Factor analysis Postoperative intraocular pressure poor risk factors for silicone oil emulsion and injection of the disease. Conclusion More than half of silicone oily glaucoma return to normal IOP after silicone oil is removed. The success rate of non-emulsified silicone oil is higher than the emulsified person.