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目的探讨睫状环阻塞性青光眼的治疗方法及疗效。方法在本院行青光眼术后发生的睫状环阻塞性青光眼25例(27眼),进行早期综合药物治疗,包括散瞳、皮质类固醇滴眼、碳酸酐酶抑制剂滴眼和口服,甘露醇静脉滴注等,疗程结束后所有患者均进行结果评定,并对其临床资料进行总结分析。结果术后早期均有轻度的角膜水肿,前房变浅或消失,眼压正常或升高。7眼青光眼联合白内障手术伴不同程度的前房渗出,2眼人工晶状体前膜形成,经皮质类固醇及散瞳局部治疗1周后角膜透明:渗出及膜均吸收,前房反应消失,前房深度恢复正常。此外,治疗后的平均眼压(17..3±2.3)mmHg,与治疗前平均眼压(25.0±2.0)mmHg比较,差异显著。结论早期综合药物治疗青光眼术后发生的睫状环阻塞性青光眼,眼压均得到有效的控制,治疗成功后部分患者继续长期滴用睫状肌麻痹剂的措施有一定效果。
Objective To investigate the treatment and efficacy of ciliary loop obstructive glaucoma. Methods 25 patients (27 eyes) with ciliary loop obstructive glaucoma who underwent glaucoma surgery in our hospital underwent early comprehensive medical treatment including mydriasis, corticosteroid eye drops, carbonic anhydrase inhibitor drops and oral administration, mannitol Intravenous drip, etc., after the end of treatment for all patients were assessed, and its clinical data summary analysis. The results of early postoperative mild corneal edema, anterior chamber becomes shallow or disappear, intraocular pressure normal or elevated. 7 eyes with glaucoma and cataract surgery with varying degrees of anterior chamber exudate, 2 eyes before the formation of anterior lens, corticosteroid and mydriasis by local treatment after 1 week corneal transparency: exudation and membrane absorption, anterior chamber reaction disappeared, before Room depth returned to normal. In addition, the mean intraocular pressure (17..3 ± 2.3) mmHg after treatment was significantly different from the pre-treatment mean intraocular pressure (25.0 ± 2.0) mmHg. Conclusions The early comprehensive treatment of glaucoma in patients with glaucoma after ocular obstructive glaucoma, intraocular pressure are effectively controlled, after successful treatment of some patients continued long-term use of cycloplegic drip measures have some effect.