摘要
目的:总结房水迷流综合征(AMS)的治疗经验.方法:采用综合药物治疗、前房重建、前房重建加玻璃体抽吸、晶状体摘除、前部玻璃体切除、滤过性手术等多种方法治疗AMS 20例(23眼),回顾分析患者的临床资料.结果:①18眼临床治愈,3眼AMS控制但眼压失控或视功能丧失,2眼病情恶化;②睫状体晶状体阻滞者18眼、治愈16眼,睫状体玻璃体阻滞者1眼,治愈,睫状体晶状体阻滞治疗后又发生睫状体玻璃体阻滞者4眼,治愈1眼,③发生AMS后3d内明确诊断并进行治疗者9眼、全部治愈,4～15d内开始治疗者7眼、治愈6眼,15d后开始治疗者7眼、治愈3眼;④综合药物治疗法治愈2眼,前房重建术治愈2眼,前房重建加玻璃体抽吸术治愈7眼,前房重建联合其他手术治愈7眼.结论:临床分型、开始治疗时间、治疗方法的选择与AMS的疗效相关;选择符合病情的方法、及时治疗,各种方法都可能取得较好的效果.
AIM: To sum up the therapeutic effects on aqueous misdirection syndrome (AMS).· METHODS: Twenty cases (23 eyes) of AMS were treated with one or more methods as follows: synthetical medical therapy, reconstruction of the anterior chamber, aspiration of the anterior vitrous, extraction of the lens, anterior vitrectomy and filtering surgery. The clinical data were analyzed retrospectively.· RESULTS: ① Eighteen of the 23 eyes were cured clinically; AMS was controlled but the control of intraocular pressure or visual function was lost in 3 eyes and the condition of AMS exacerbated in 2 eyes. ② Sixteen of the 18 eyes with ciliary-lens block, 1 eye with ciliary-vitreous block, and 1 of the 4 eyes with ciliary-vitreous block transformed from ciliary-lens block after treatment were cured clinically. ③ Nine eyes were managed successfully within 3d after the breakout of AMS; 7 eyes were managed between 4-15d with 6 eyes being successful, and 7 eyes were managed 2wk later with 3 being cured. ④ Two eyes were cured with synthetical medical therapy, 2 eyes with reconstruction of the anterior chamber, 7 eyes with reconstruction of the anterior chamber and aspiration of the anterior vitrous and 7 eyes with reconstruction of the anterior chamber and other surgeries.· CONCLUSION: The therapeutic effects on AMS were related to the clinical type, the starting time of the therapy after the breakout of AMS and the selection of surgical methods. All timely and correctly selected methods can bring good results.
出处
《国际眼科杂志》
CAS
2004年第3期454-457,共4页
International Eye Science
