目的 :探讨硅油填充术后高眼压的原因、临床表现及处理措施。方法 :回顾分析 2 0 8例、2 13眼于硅油填充术后继发高眼压 39眼的临床资料。结果 :术后随访 2周～ 4月 ,继发高眼压 39眼中 ,19眼为激素性 (48.7% ) ,7眼为炎性反应 (17.9% ) ,5眼为周切口闭锁 (12 .8% ) ,4眼为新生血管 (10 .3% ) ,2眼为体位不当 (5 .1% ) ,1眼为硅油乳化 (2 .6 % )。结论 :继发高眼压为硅油填充术后常见并发症 ,以激素性和炎性反应原因为主。及时的对症处理 ,可防止视功能的损害 Objective: To investigate the causes, clinical manifestation and treatment of intraocular hypertension after silicone oil filling. Methods: A retrospective analysis of 208 cases, 213 eyes after silicone oil filled with intraocular hypertension secondary to the clinical data of 39 eyes. RESULTS: Of the 39 eyes with secondary intraocular hypertension, 19 were hormone-refractory (48.7%), 7 were inflammatory (17.9%), 5 were circumferential incision closure (12.8 %), 4 eyes were neovascular (10.3%), 2 eyes were improperly positioned (5.1%) and 1 eye was silicone oil emulsion (2.6%). Conclusions: Secondary intraocular pressure (IOP) is a common complication after silicone oil filling, with the main cause of steroid and inflammatory reaction. Timely symptomatic treatment, to prevent impairment of visual function