摘要
【摘要】目的分析不同手术方式治疗眼外伤继发难治性青光眼的临床效果。方法2012年2月至2015年2月收住我院的难治性青光眼72例（72只眼），均继发于闭合性眼外伤。依据手术方法不同将其分为研究组（35例）与对照组（37例）。研究组采取房水引流器植入术治疗，而对照组则实施玻璃体切除术联合睫状突光凝术治疗。比较两组手术前后眼压和视力情况。结果手术前两组眼压以及视力比较差异无统计学意义（P〉0．05）。手术后研究组眼压优于对照组（P〈0．05）。术后1个月、3个月两组患者视力均较治疗前改善（P〈0．05），两组间比较术后3个月研究组视力优于对照组（P〈0．05）。结论房水引流器植入术可显著降低闭合性眼外伤继发难治性青光眼的眼压，提高其临床疗效。
Objective To analyse the clinical effects of different surgeries for the treatment of refractory glaucoma secondary to closed ocular trauma. Methods Seventy-two eyes of 72 cases with refractory glaucoma that caused by closed ocular injury were selected and divided into the study group of 35 eyes and the control group of 37 eyes. All patients were accorded to the different treatment plan. The study group underwent aqueous humor drainage device implantation, while the control group was treated by vitrectomy combined with cyclophotocoagulation. The intraocular pressure and visual acuity before and after operation were observed. Results There was no significant difference in the intraocular pressure or visual acuity between two groups before treatment （ P 〉 0.05 ）. The intraocular pressure in the study group was lower than that of the control group （ P 〈 0.05 ） after treatment. The visual acuity was improved in two groups（ P 〈 0.05 ）at 3 months postoperative. And the study group is better than control group （P 〈 0.05 ）. Conclusion The aqueous humor drainage device implantation is an effective method in the treatment of refractory glaucoma that caused by closed ocular trauma.
出处
《中华眼外伤职业眼病杂志》
2016年第8期569-572,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
青光眼
难治性
继发性
眼外伤
闭合性
引流器植入术
眼压
Glaucoma, refractory, secondary
Ocular trauma, closed
Implantation, drainage device
Intraocular pressure
作者简介
通信作者：闫维雁，Email：lyywy@126．com
