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目的 探讨挫伤性前房出血继发性青光眼的治疗方法。方法 对 14例 (眼 )挫伤性前房出血继发性青光眼采用结膜瓣下角膜缘切口的前房穿刺术 ,应用尿激酶、甲基纤维素、双管注吸针头清除前房积血。结果 术后前房出血消失 ,眼压得以控制。结论 挫伤性前房出血继发性青光眼因出血消失、阻塞的房角和瞳孔重新开放而缓解。此种手术治疗方法是治疗挫伤性前房出血继发青光眼有效、简便、安全的方法。
Objective To investigate the treatment of secondary glaucoma in contusion hyphema. Methods Anterior chamber puncture was performed in 14 cases of secondary glaucoma with contusion of the anterior chamber in patients with traumatic hemorrhage. The anterior chamber hemorrhage was eliminated with urokinase, methylcellulose and double needle aspiration needle. Results postoperative anterior chamber hemorrhage disappeared, intraocular pressure can be controlled. Conclusions Secondary glaucoma with contusion hyphema is relieved due to the disappearance of hemorrhage, the obstruction of the angle and the reopening of the pupil. This surgical treatment is effective, simple and safe treatment of glaucoma secondary to contusion hyphema.