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晶状体脱位继发青光眼手术方法选择

Selection of operative methods for glaucoma secondary to dislocation of lens
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摘要 目的 :探讨晶状体脱位继发青光眼的手术方法及其治疗效果。方法 :对晶状体脱位继发青光眼 3 2例 ( 3 4只眼 ) ,根据不同原因及晶状体脱位状态不同 ,采取晶状体摘除加前段玻璃体切除术 ,小梁切除术 ,晶状体摘除及前段玻璃体切除联合小梁切除术 ,有 8只眼植入前房型人工晶状体。结果 :术后视力提高 18只眼 ,保持不变 16只眼。术后 6个月眼压全部控制 ,最低 12mmHg( 1mmHg =0 13 3kPa) ,最高 2 4mmHg。结论 :根据不同病因和晶状体不同的脱位状态选择不同的手术方式 。 Objective:To evaluate the operative methods and therapeutic efficiencies for glaucoma secondary to dislocation of lens.Methods:In 32 cases(34 eyes) of glaucoma secondary to dislocation of lens,various operative methods were used,depending on the causes and positions of the dislocated lens: extraction of lens combined with anterior vitrectomy,trabeculectomy or combination of these 3 operations.In 8 cases intraocular lens of anterior chamber type were implanted.Results:Postoperatively,vision improved in 18 cases,while remained the same in the other 16 cases.Intraocular pressure were under control in all cases 6 months postoperatively,the lowest being 12mmHg and the highest 24mmHg.Conclusion:Depending on the causes and positions of the dislocated lens,different operative methods can be used and effectively cure the glaucoma secondary to dislocation of lens.
作者 赵炳坤
出处 《眼科》 CAS 2002年第1期20-21,共2页 Ophthalmology in China
关键词 晶状体脱位 青光眼 外科手术 治疗 luxation of lens/surg glaucoma/second glaucoma/surg
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