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目的:探讨玻璃体切除硅油填充术后患者发生急性难治性青光眼的处理方法。方法:回顾性分析2000年1月至2006年12月在我院行玻璃体切除术后患者发生急性难治性青光眼的9例患者,探讨其可能的病因及临床处理方法。结果:所有9例患者经综合降眼压治疗及放出部分硅油等处理,患眼眼压仍不能有效控制,后于硅油填充术后14-18 d行硅油取出、全氟丙烷气体填充术,患眼眼压降至正常范围,且视网膜复位良好。结论:对于玻璃体切除硅油填充术后发生急性难治性青光眼的患者,综合降眼压治疗无效时,可于硅油填充术后14-18 d行硅油取出、全氟丙烷气体填充术,术后既能达到控制眼压的目的,又不影响视网膜的复位。
Objective: To investigate the treatment of acute refractory glaucoma after vitrectomy in patients with silicone oil-filled surgery. Methods: Nine patients with acute refractory glaucoma who underwent vitrectomy in our hospital from January 2000 to December 2006 were retrospectively analyzed to explore the possible etiology and clinical treatment. Results: All 9 patients underwent combined intraocular pressure reduction and release of some silicone oil. Intraocular pressure was still not controlled effectively. Silicone oil was removed after 14-18 days of silicone oil filling. Perfluoropropane gas filling Eye pressure drops to the normal range, and retinal reattachment well. CONCLUSIONS: For patients with acute intractable glaucoma after vitrectomy silicone insufflation, the intraocular pressure reduction can be performed with silicone oil, perfluoropropane gas filling 14-14 days after silicone oil filling, and postoperative Can achieve the purpose of controlling intraocular pressure, but also does not affect the retinal reset.