眼挫伤继发性青光眼的类型及治疗分析.docVIP

眼挫伤继发性青光眼的类型及治疗分析 　　[摘要]目的 探讨眼挫伤继发性青光眼的主要类型及有效的治疗对策。方法 选取2013年1月～2016年1月在我院诊治的眼挫伤继发性青光眼患者64例，分析其临床分型、治疗方法及临床效果。结果 眼内积血型共39例，治疗后37例有效，有效率为94.87%；晶状体脱位型共13例，治疗后11例有效，有效率为84.62%；粘连增殖型共6例，治疗后5例有效，有效率为83.33%；房角挫伤型共8例，治疗后7例有效，有效率为87.50%；治疗后，上述5种类型眼挫伤继发性青光眼的眼压均较治疗前明显降低（P0.30者39例，随访6个月视力较出院时增加有35例（54.69%），不变24例（37.50%），减退5例（7.81%）。结论 眼挫伤容易导致继发性青光眼，临床治疗需根据其具体分型采取针对性措施，才能有效低眼压，提高患者视力水平。 　　[关键词]眼挫伤；继发性青光眼；分型；眼压 　　[中图分类号] R775.3 [文献标识码] A [文章编号] 1674-4721（2016）10（c）-0103-03 　　[Abstract]Objective To investigate the main type and effective treatment strategy of secondary glaucoma caused by ocular contusion.Methods 64 cases with secondary glaucoma caused by ocular contusion diagnosed and treated in our hospital from January 2013 to January 2016 were selected.The clinical type， treatment methods and clinical effect were analyzed.Results Hemorrhage type was 39 cases，37 cases were effective after treatment，and the effective rate was 94.87%；a total of 13 cases of dislocation of the lens after treatment，11 cases were effective，and the effective rate was 84.62%；a total of 6 cases of adhesion proliferation after treatment，5 cases were effective，the effective rate was 83.33%；the chamber angle contusion type was 8 cases，7 cases were effective，and the effective rate was 87.50%.After treatment，intraocular pressure of above-mentioned five types of secondary glaucoma caused by ocular contusion were significantly lower than those before treatment （P0.30 in 39 cases.After 6 months of follow-up，visual acuity was increased in 35 cases （54.69%），unchanged in 24 cases （37.50%），decreased in 5 cases （7.81%） compared with leaving hospital.Conclusion Ocular contusion is easy to cause secondary glaucoma，clinical treatment should be based on the specific somatotype to take targeted measures to effectively reduce the intraocular pressure，improve the patients visual acuity. 　　[Key words] Ocular contusion；Secondary glaucoma；Somatotype；Intraocular pressure 　　眼挫伤是因机械性外力导致的眼球或眼附属器损伤，例如眼球内出血、房角损伤、晶状体脱位等