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近10多年来国内外报告了一些未经抗青光眼手术的病人,局部用缩瞳剂后引起眼压升高的恶性青光眼,对进一步认识及研究恶性青光眼提供了新资料。目前认为其发病机理系由于晶体赤道部与睫状突贴闭,或睫状环玻璃体阻塞,房水不能前流,使虹膜晶体推向前,导致前房浅及房角闭塞,故目前称之为睫状环阻塞性闭角青光眼。治疗方法较多,一般常采取晶体摘除术,抽出玻璃体积液及前房注气等,我科于1980年采用后巩膜穿刺并小梁切除术治疗睫状环阻塞性闭角青光眼6例7眼,近期疗效较好,兹报告如下: 临床资料 1、性别年龄:男性2例,女性4例,年龄43—82岁。
In the past 10 years, some domestic and foreign reports of some patients without anti-glaucoma surgery, local use of miotic agent caused by elevated intraocular pressure of malignant glaucoma, to further understand and study of malignant glaucoma provided new information. Now that the pathogenesis of the Department of the crystal due to the equator and ciliary processes posted closed, or ciliary loop vitreous obstruction, aqueous humor can not flow, the iris crystals pushed forward, leading to shallow anterior chamber and angle closure, it is now called For the ciliary loop obstructive angle closure glaucoma. Treatment of many, usually taken crystal extraction, the extraction of the glass volume of fluid and anterior chamber insufflation, etc. In 1980, we used posterior scleral puncture and trabeculectomy for ciliary ring obstructive closed-angle glaucoma in 6 cases 7 eyes , The recent curative effect is better, it is reported as follows: Clinical data 1, gender age: 2 males and 4 females, aged 43-82 years old.