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1、硅油入前房继发青光眼的临床治疗作者：袁容娣，贺翔鸽，刘少章,王维光单位：第三军医大学大坪医院野战外科研究所眼科，垂庆400042提要:目的探讨硅油入前厉继发青光眼的临床治疗方法。方法硅油入前厉继发青光眼26例,其中无品体眼22例，有品体眼4例。硅油填充3个月以上,网膜复位好的患者直接取出硅油。无晶体眼患者分别行俯卧位、激光或手术行下方蛀膜周切、硅汕再注入、角膜下方小梁切除术。有晶体眼患者使用Healon将硅汕从前房排出，硅汕再入前房者切除晶体、硅汕再注入、6点周边蛀膜切除。患者眼压控制后随访3个月眼压。结杲除1例无晶体眼患者放弃治
2、疗外,其余患者随访3个月眼压控制。21例无晶体眼患者经不同方法治疗,眼压得到控制，其中5例单纯釆用俯卧位、5例激光虹膜周切、4例手术虹膜周切、2例硅油再注入、2例直接取油、3例行角膜卜方小梁切除术。有晶体眼患者4眼眼压均控制，其中3例使川Healon将硅汕从前厉排出，1例切除品体、硅油再注入。结论硅油入前厉继发青光眼经多种方法治疗后可获得满意疗效。关键词:继发性青光眼;硅油;临床治疗中图法分类号:R775;R779.6;R916.3文献标识码:AClinicaltreatmentforsecondaryglaucomaduetos
3、iliconeoilmigratingintoanteriorchamberYUANRong-di,HEXiang-ge，LIUShao-zhang,WANGWei-guang(DepartmentofOphthalmology,DapingHospital,ThirdMilitaryMedicalUniversity,Chongqing400042,China)Abstract:ObjectiveToexploretheclinicaltherapeuticmethodsforsecondaryglaucomainducedby
4、themigrationofsiliconeoilintotheanteriorchamber.MethodsTotally26casesofsuchsecondaryglaucomajncluding22aphakiceyesand4phakiceyesweresubjected.Siliconeoilwasdirectlytakenoutforthepatientswhoseretinawasrepositedwellaftersiliconeoilinjectionforover3months.Theaphakicpatie
5、ntsunderwentbo’clockpositionperipheraliridectomywithlaseroroperationonproneposition,thensiliconoilwasreinjected,andtrabeculectomywascarriedoutthroughinferiorcornea.ThephakicpatientsreceivedsiliconeoilaspirationwithHealonfromtheanteriorchambe匚Whensiliconeoilremig
6、ratedintotheanteriorchamber,thecrystalwasresected,siliconeoilwasreinjected,and6o’clockpositionperipheraliridectomywereperformed.Thepatientswerefollowedupfor3monthsaftertheintraocularpressure(IOP)reachingnormalrange.ResultsExceptonepatientgaveuptreatment,allthepa
7、tientshadstableandnormalIOPafter3monthsoffollow-up・IOPwasconUolledthroughdifferentmethodsin21aphakiceyes:5withproneposition,5with6’clockpositionperiph-eraliridectomythroughlaseroroperation,4withsiliconoilreinjecting,2withirectaspirationofsiliconeoil,and3withtrab
8、eculectomyundercornea・IOPwascontroledinallofphakiceyes:3withHealonaspirationofsiliconeoil」withcrystalresectionandreinjection
