论文部分内容阅读
目的 探讨有关前房积血继发青光眼手术的时间、方法等问题.方法 85 眼药物不能控制的外伤性前房积血继发青光眼患者, 采用前房穿剌, 尿激酶前房冲洗, 9 眼眼压仍不能控制者采用小梁切除术.结果 除2 眼化学性爆炸伤外其余患者眼压正常, 视力有显著性提高, 5 眼发生视神经萎缩.术后未出现角膜血染, 无手术并发症出现.结论 对前房积血继发性青光眼患者在药物不能控制时应及早手术.前房穿刺、冲洗术为一种安全有效的方法.“,”Objective To discuss some problems such as the time for surgical intervention and the techniques. Methods 84 consecutive patients (85 eyes) who uunderwent anterior chamber washout with urokinase as the primary surgical treatment for trqumatic hyphema with increased IOP that was unresponsive to medical management. IOP in 9 eyes were still nucontrolled and the trabectulectomy were performed Results IOP was reduced to normal except 2 eyes with chemical burn. visual acuity was remarkedly improved . 5 eyes developed optic atrophy. No croneal blood sataining happened in earlier surgical patients and no surgical complications. Conclusions For the patients of traumatic hyphema with increased IOP that was uncontrolled medically, surgical intervention should be performed in time. Anterior chamber washout with urokinase was an effcetive and safe procedure.