原发性闭角型青光眼术后发生恶性青光眼危险因素分析.docVIP

原发性闭角型青光眼术后发生恶性青光眼危险因素分析 　　[摘要] 目的 探讨原发性闭角型青光眼患者术后发生恶性青光眼的危险因素。方法 方便选取该院2012年6月―2015年12月收治的530例（664眼）原发性闭角型青光眼患者作为研究对象，根据术后是否发生恶性青光眼分为观察组13例（19眼）和对照组517例（645眼），通过A/B超和UBM对患者前房深度、LOWE系数、眼轴长度、晶状体厚度及术前眼压等指标进行检测，分析观察指标与恶性青光眼发生的关联性。结果 与对照组相比，观察组患者眼轴（20.97±0.75）mm较短、晶状体 （4.27±0.38）mm较薄、术前眼压 （35.15±5.31）mmHg较高，差异有统计学意义（P0.05）；在年龄、术前眼压、眼轴长度（χ2=6.32）、前房深度及晶状体厚度上差异有统计学意义（P0.05）。结论 年龄较小、术前眼压高、眼轴较短、前房厚度较浅及晶状体较薄的原发性闭角型青光眼术后易发生恶性青光眼。 　　[关键词] 原发性闭角型青光眼；危险因素；恶性青光眼 　　[中图分类号] R776.1 [文献标识码] A [文章编号] 1674-0742（2016）11（c）-0099-03 　　[Abstract] Objective To explore the risk factors of malignant glaucoma occurrence after filtration surgery for primary glaucoma. Methods Convenient selection our hospital were treated 530 cases （664 eyes） of primary angle-closure glaucoma patients as research subjects in June 2012 - December 2015， according to the occurrence of malignant glaucoma after surgery is divided into observation group of 13 cases （19 eyes） and control group of 517 cases （645 eyes）， A/B ultrasound and UBM were used to detect anterior chamber thickness、LOWE coefficient、axis length、lens thickness and preoperative IOP， correlation analysis observed indicators of malignant glaucoma. Results Compared with the control group， the observation group of patients with ocular axis （20.97 ± 0.75）mm， short lens （4.27 ± 0.38）mm thinner， preoperative intraocular pressure （35.15 ± 5.31）mmHg is higher， the difference was statistically significant （P 0.05）； in the age， preoperative intraocular pressure and ocular axial length （χ2=6.32）， there was statistical significance between anterior chamber depth and lens thickness （P 0.05）. Conclusion The patients with primary angle closure glaucoma were prone to malignant glaucoma after the operation of the primary angle closure glaucoma with small age， high intraocular pressure， short axial length， anterior thickness and thin lens. 　　[Key words] Primary angle-closure glaucoma； Risk factors； Malignant glaucoma 　　?盒郧喙庋郏?Malignant Glaucoma）又名睫状环阻滞性闭角型青光眼，