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目的评价玻璃体切割联合引流阀植入治疗外伤相关性青光眼的疗效。方法回顾应用玻璃体切割联合引流阀植入治疗的眼外性青光眼36例(36眼),观察手术后眼压及并发症等。结果36眼随访6～28月,平均15.9月。术后末次随访时眼压在10～20mmHg之间有34例(94.4%),2例经用激素2次冲洗硅胶管后眼压降至26～28mmHg之间。结论玻璃体联合引流阀植入是治疗眼外伤性青光眼的一种较为有效的方法。
Objective To evaluate the efficacy of vitrectomy and drainage valve implantation in the treatment of trauma-associated glaucoma. Methods 36 cases (36 eyes) of extraocular glaucoma treated with vitrectomy combined with drainage valve were retrospectively reviewed. Intraocular pressure (IOP) and complications were observed. Results 36 eyes were followed up from 6 to 28 months with an average of 15.9 months. The intraocular pressure (IOP) was 34 (94.4%) during the last follow - up after intraocular pressure was 10-20 mmHg. The intraocular pressure was decreased to 26-28 mmHg in 2 cases after 2 times of irrigating with silicone tube. Conclusion The vitrectomy combined with drainage valve implantation is a more effective method for the treatment of traumatic glaucoma.