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房水引流物植入聯(lián)合抗代謝藥物治療房角后退繼發(fā)性青光眼長期療效觀察

發(fā)布時間:2018-04-22 09:11

  本文選題:房水引流物植入 + 房角; 參考:《實用醫(yī)學(xué)雜志》2014年16期


【摘要】:正隨著當(dāng)今中國工業(yè)和交通業(yè)的飛速發(fā)展,近年來眼外傷的發(fā)生率逐年上升。眼外傷并發(fā)癥中較嚴(yán)重而又易被忽略的是繼發(fā)性眼壓升高和青光眼。據(jù)統(tǒng)計眼球挫傷后約60%~94%患者發(fā)生房角后退。部分患者由于房角后退導(dǎo)致小梁網(wǎng)撕裂,水腫而后變性萎縮喪失房水外引流功能,導(dǎo)致頑固性高眼壓且藥物無法控制。青光眼房水引流物是治療此類外傷所致難治性青光眼的新選擇。我院對房角后退繼發(fā)性青光眼行房水引流物植入術(shù),并術(shù)中聯(lián)合及術(shù)后使用抗代謝藥物,跟蹤隨訪12~36個月,總體取得了較好的臨床效果,現(xiàn)報告如下。
[Abstract]:With the rapid development of industry and transportation in China, the incidence of ocular trauma has increased year by year in recent years. Secondary IOP and glaucoma are serious and easily neglected complications of ocular trauma. According to statistics, about 60% of the patients suffered from ocular contusion. In some patients the trabecular meshwork was torn due to angle receding edema and then degenerative atrophy and lost the drainage function of aqueous humor which resulted in intractable high intraocular pressure and the drug was out of control. Glaucoma aqueous humor drainage is a new choice for the treatment of refractory glaucoma caused by trauma. Our hospital performed implantation of atrial drainage in secondary glaucoma with angle receding, combined with antimetabolic drugs during and after operation, followed up for 12 ~ 36 months, and achieved good clinical results in general. The present report is as follows.
【作者單位】: 南昌大學(xué)第二附屬醫(yī)院眼科;
【分類號】:R779.6

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1 楊俠,董曉光;Ahmed青光眼閥治療難治性青光眼的作用和現(xiàn)狀[J];國際眼科雜志;2005年05期

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本文編號:1786542

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