原发性闭角型青眼滤过术后发生恶性青光眼.pdfVIP

摘 要 原发性闭角型青光眼滤过术后发生恶性青光眼 的危险因素分析 研究生：常彩霞 导师：具尔提 教授 摘 要 目的：研究原发性闭角型青光眼患者行抗青光眼滤过手术后发生恶性青光眼的 危险因素。方法：选择2004年1月至2009年12月就诊于我院行抗青光眼滤过手术 的原发性闭角型青光眼患者共343例455眼，其中男 115例 135眼，女228例320 眼。记录患者年龄、性别、青光眼类型、房角、前房深度、晶体厚度、眼轴长度， 对术后发生恶性青光眼患者与其余患者进行分组数据比较（t检验、?2 检验）及相应 的统计学处理。结果：在该组患者中，共发生恶性青光眼10例12眼，发生率为2.63%， 前方深度、眼轴长度、相对晶体位置组间无明显差异，晶体厚度 2组间有显著性差 异，房角结构及青光眼类型组间均有显著差异。结论：原发性闭角型青光眼患者行 小梁切除术后发生恶性青光眼与患者自身解剖结构有关，慢性闭角型青光眼患者晶 体相对较薄及较窄有关闭倾向者易致滤过术后发生恶性青光眼。 关键词：原发性闭角型青光眼；滤过手术；恶性青光眼；危险因素 —1— 新疆医科大学医学硕士学位论文 Risk factors of malignant glaucoma after trabeculectomy in primary angle closure glaucoma Postgraduate ：Chang cai xia Superviser：prof. ju er ti Abstract Objective ：To analyze the risk factor of malignant glaucoma after trabeculectomy in primary angle closure glaucoma. Method: Three hundred and forty three patients four hundred and fifty- five eyes with primary angle closure glaucoma we performed trabeculectomy. Age,sex,the type of anterior chamber anterior length of chamber,the thickness of lens,the length of eye axis were recorded and compared those who developed malignant glaucoma after operations and those undeveloped. Results : Ten patients twelve eyes developed maligment glaucoma after trabeculectomy. The thickness of lens is thicker than the eyes those undeveloped. The angle of anterior chamber and the type of primary anger closure glaucoma are not same. Conclusion: Patients of PACG developed maligment glaucoma is relative to its anatomy. Key Words : primary angle closure glaucoma ；trabeculectomy ； malignant glaucoma