晶状体悬韧带松弛或不全脱位继发青光眼的临床分析

摘要

目的:探究晶状体悬韧带松弛或不全脱位继发青光眼的临床特点,分析手术对视力、眼压等的影响.方法:回顾性分析2014-12/2016-12于我院眼科治疗的晶状体悬韧带松弛或不全脱位继发青光眼患者38例38眼的临床资料,观察临床特点,术前检查并根据悬韧带的部位和晶状体脱位范围选择手术方式,分析手术前后前房深度、角膜内皮细胞密度、眼压、视力及术后并发症情况.结果:术后10d患者平均眼压(18.17 ±1.43mmHg)较手术前(38.77 ± 2.45mmHg)显著降低,差异具有统计学意义(P0.05).术后前房深度(2.45±0.44mm)较术前(1.23±0.35mm)显著升高,差异具有统计学意义(P0.05). The postoperative anterior chamber depth was 2.45 ± 0.44mm, which was significantly higher than 1.23 ± 0.35mm before operation, the difference had statistical significance (P < 0. 05). The postoperative corneal endothelial cell density was 878.34 ± 322.12/mm2 and decreased significantly, compared with 1735.32 ± 340. 32/mm2before operation, the difference had statistical significance (P<0.05). There were 8 eyes with corneal edema,4 eyes with iris adhesion or varying degrees of atrophy,3 eyes with anterior chamber hemorrhage,and 2 eyes with pupil exudate at 3d after surgery. · CONCLUSION: Clinical symptoms and signs of secondary glaucoma in patients with lens suspensory ligament laxity or occult subluxation are more complex, which needs to be distinguished with other types of glaucoma in clinical treatment, and its surgical methods shall be chosen according to different suspensory ligament site and lens subluxation scope.