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无晶体眼瞳孔阻滞性青光眼和睫状玻璃体阻滞性青光眼(恶性青光眼)是白内障囊内摘除术的严重并发症,都有眼压升高、前房变浅、玻璃体疝严重等临床表现。本文用Nd:YAG激光作虹膜切开治疗3眼因虹膜周边切口有色素层残留而引起的瞳孔阻滞性青光眼,以及作虹膜和玻璃体前界膜切开治疗3眼无晶体眼恶性青光眼。术后1小时内全部病例眼压降至正常,前房恢复无晶体眼深,玻璃体后退,未发生角膜损伤、眼压持续升高及严重前房出血等并发症。作者认为Nd:YAG激光是一种治疗无晶体眼瞳孔阻滞性青光眼和恶性青光眼简单而有效的方法,可避免再次手术引起的不良反应。
Aphakic pupil-blocking glaucoma and ciliary vitreous hilariasis (malignant glaucoma) are serious complications of intracapsular cataract extraction, with elevated intraocular pressure, shallow anterior chamber and severe vitreous hernia. In this paper, Iris cut Nd: YAG laser for the treatment of 3 eyes due to residual iris iris retinitis pigmentosa caused by retinal block glaucoma, and the iris and vitreous anterior membrane incision for the treatment of 3 patients with aphakic malignant glaucoma. Intraocular pressure was reduced to normal in all cases within 1 hour after surgery. No anterior chamber was found with deep aphakia, vitreous receding, no corneal injury, persistent intraocular pressure and severe complications of anterior chamber hemorrhage. The authors believe that Nd: YAG laser is a simple and effective method for the treatment of aphakic pupillary block glaucoma and malignant glaucoma, to avoid the adverse reactions caused by reoperation.