眼挫伤继发性青光眼的类型及治疗分析

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Abstract Objective To investigate the main type and effective treatment strategy of secondary glaucoma caused by ocular contusion.Methods 64 cases with secondary glaucoma caused by ocular contusion diagnosed and treated in our hospital from January 2013 to January 2016 were selected.The clinical type,treatment methods and clinical effect were analyzed.Results Hemorrhage type was 39 cases,37 cases were effective after treatment,and the effective rate was 94.87%;a total of 13 cases of dislocation of the lens after treatment,11 cases were effective,and the effective rate was 84.62%;a total of 6 cases of adhesion proliferation after treatment,5 cases were effective,the effective rate was 83.33%; the chamber angle contusion type was 8 cases,7 cases were effective,and the effective rate was 87.50%.After treatment, intraocular pressure of above-mentioned five types of secondary glaucoma caused by ocular contusion were significantly lower than those before treatment(P＜0.01).There was no light perception in 1 case,light sense-0.05 in 11 cases,light sense of 0.05-0.30 in 13 cases and light sense of＞0.30 in 39 cases.After 6 months of follow-up,visual acuity was increased in 35 cases(54.69%),unchanged in 24 cases(37.50%),decreased in 5 cases(7.81%)compared with leaving hospital.Conclusion Ocular contusion is easy to cause secondary glaucoma,clinical treatment should be based on the specific somatotype to take targeted measures to effectively reduce the intraocular pressure,improve the patient's visual acuity.

Key words： Ocular contusion Secondary glaucoma Somatotype Ⅰntraocular pressure

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	YAO Run-lian

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YAO Run-lian. Analysis of type and treatment for secondary glaucoma caused by ocular contusion[J]. 中国当代医药, 2016, 23(30): 103-105.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I30/103

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