继发于无晶状体眼和人工晶状体眼的青光眼（Glaucoma secondary to intraocular lenses and intraocular lenses）.docVIP

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继发于无晶状体眼和人工晶状体眼的青光眼（Glaucoma secondary to intraocular lenses and intraocular lenses）.doc

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继发于无晶状体眼和人工晶状体眼的青光眼（Glaucoma secondary to intraocular lenses and intraocular lenses）

继发于无晶状体眼和人工晶状体眼的青光眼（Glaucoma secondary to intraocular lenses and intraocular lenses） The incidence of secondary glaucoma after cataract surgery varies greatly with the age of surgery and is reported in the literature, which is related to the improvement of ophthalmic microsurgery techniques. Pathogeny (1) the cause of the disease; Relating to the condition of lens surgery and intraocular lenses. (two) pathogenesis Elevated intraocular pressure and cataract intraocular lens after surgery and glaucoma, the disease can be temporary, but also persistent, there are a variety of mechanisms, can be divided into open angle and angle closure, or some combination of the two, most think the original level of intraocular pressure and ocular surgery pre-existing glaucoma,. With the control of intraocular pressure after cataract surgery and glaucoma. 1. the temporary elevation of intraocular pressure occurs in the early postoperative period, mostly reversible, and the limited intraocular pressure increases. The cause may be related to the following factors: (1) iridocorneal angle distortion: corneoscleral incision suture occurred due to tight substantial deep corneal edema, iridocorneal angle microscope showed a white crest along the incision edge into the anterior chamber, covering the corner, near the small beam distortion effect of aqueous outflow caused by elevated intraocular pressure, surgery for the removal of this situation common in limbus incision extracapsular or intracapsular cataract. (2) zonules dissolved: also known as enzyme glaucoma occurred after 1: 5000 to 1: 10000 of alpha chymotrypsin liquid intracapsular cataract extraction, characterized by selective dissolution of lens suspensory ligament, the fiber section decomposition small pieces of uniform size for a length of about 100nm, blocking the small the gap caused by the beam net real water discharge disorder; also that enzyme destroys the blood aqueous barrier or enzyme directly on the trabecular meshwork an