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目的 :探讨房角后退与房角退缩性青光眼的关系。方法 :研究 1978年 1月～ 1999年 3月连续 2 94例 2 94只房角后退眼 ,其中随访 1～ 3年者 2 0 1只眼 ,3～ 6年者 6 0只眼 ,6～ 2 0年者 33只眼。重点分析这些眼的临床表现、前房角镜检查所见及房角后退与房角退缩性青光眼的关系。结果 :2 6只眼发生了房角退缩性青光眼 (8 8% ) ,其中 2 4只眼为早发型 ,2只眼为晚发型。在 2 6只房角退缩性青光眼中 ,2 4只眼房角后退的范围均 >180°。结论 :所有眼钝伤患者均应行前房角镜检查。房角退缩性青光眼的发生与房角后退的范围有关。如果房角后退范围 >180° ,应定期随访患者的眼压、眼压描记、C/D和视野变化 ,以便早期发现房角退缩性青光眼。
Objective: To investigate the relationship between retreat of angle and retropharyngeal glaucoma. Methods: From January 1978 to March 1999, 2 94 consecutive 2 94 eyes were retrospectively studied. Among them, 210 eyes were followed up for 1-3 years, 60 eyes were 3-6 years and 6-2 33 eyes in 0 years. Focus on the analysis of the clinical manifestations of these eyes, gonioscopy and retrospective corner angle retreated glaucoma relationship. Results: Retinal glaucoma (88%) occurred in 26 eyes, of which 24 eyes had early-onset and 2 eyes had late-onset. In 26 eyes with retrocorticular glaucoma, 24 eyes had a retroreflective range> 180 °. Conclusion: All patients with blunt trauma should be examined with gonioscopy. Atrioventricular retrograde glaucoma occurs with the angle of retrogression. If the angle of retreat is greater than 180 °, IOP, IOP, C / D and field of vision should be followed up regularly to find anterior chamber retrograde glaucoma.