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目的 :探讨青光眼滤过术后恶性青光眼合并睫状体脉络膜脱离的特点及治疗方法。方法 :对 10例 12只眼青光眼小梁切除术后恶性青光眼合并睫状体脉络膜脱离的临床资料作回顾性分析。结果 :4只眼经 1～ 3次脉络膜上腔放液联合抽玻璃体水囊联合前房注气术后 ,3只眼眼压恢复正常 ,1只眼前房不恢复 ,改行前部玻璃体切除联合超声乳化白内障吸除及人工晶状体植入术。其余 8只眼均一次行前部玻璃体切除联合超声乳化白内障吸除及人工晶状体植入术后 ,眼压控制正常 ,前房形成。结论 :青光眼滤过术后恶性青光眼合并睫状体脉络膜脱离为难治并发症。脉络膜上腔放液联合抽玻璃体水囊治疗有效 ,前部玻璃体切除联合超声乳化白内障吸除及人工晶状体植入术可提高一次手术成功率
Objective: To investigate the characteristics and treatment of ciliary choroidal detachment after glaucoma filtration surgery. Methods: The clinical data of 10 patients with glaucoma after trabeculectomy of 12 patients with malignant glaucoma combined with ciliary choroidal detachment were retrospectively analyzed. Results: After 4 eyes were treated with 1 ~ 3 times the supratentorial choroidal effusion combined with vitreous humor and anterior chamber insufflation, the intraocular pressure of 3 eyes returned to normal, the anterior chamber of 1 eye did not recover, the anterior vitrectomy combined with ultrasonography Emulsified cataract extraction and intraocular lens implantation. The other 8 eyes were treated with anterior vitrectomy combined with phacoemulsification and intraocular lens implantation. The intraocular pressure was normal and the anterior chamber was formed. Conclusions: Malignant glaucoma with ciliary choroidal detachment after glaucoma filtration surgery is refractory to complication. Superior choroidal effusion combined with vitreous water balloon treatment is effective, anterior vitrectomy combined with phacoemulsification and intraocular lens implantation can improve the success rate of a surgery