摘要目的 评价玻璃体切除术中行睫状体光凝术治疗严重眼外伤合并前房角后退型青光眼的临床效果.方法 对2016年9月至2018年2月行玻璃体切除术中进行眼内睫状体光凝术的严重眼外伤合并前房角后退型青光眼9例(9只眼)临床资料进行回顾性研究.比较术前、术后的眼压、视力及术后并发症的情况.结果 术前平均眼压(43.11±6.33)mmHg(1 mmHg=0.133 kPa),术后1周、1个月和3个月眼压依次为(21.35±3.86)mmHg、(16.33±3.50)mmHg和(16.11±3.44)mmHg,术后各时间点眼压均较术前明显下降(P=0.000).术后3个月视力(logMAR)为1.77±0.30,较术前提高(t=2.588,P=0.019).随访期间未见明显的术后并发症.结论 玻璃体切除术中眼内睫状体光凝术治疗严重眼外伤合并前房角后退型青光眼具有良好的疗效.

abstractsObjective To evaluate the efficacy of vitrectomy combined with intraocular cyclophotocoagulation in the treatment of severe ocular trauma with angle recession glaucoma. Methods The data of 9 eyes of 9 patients with angle recession glaucoma and severe ocular trauma were retrospectively analyzed. All cases underwent vitrectomy combined with intraocular cyclophotocoagulation from Sep. 2016 to Feb. 2018. Postoperative intraocular pressure, visual acuity and complications before and after operation were analyzed and compared. Results Preoperative mean intraocular pressure (IOP) was (43. 11 ± 6. 33) mmHg, (21. 35 ± 3. 87 ) mmHg at 1 week after operation, ( 16. 33 ± 3. 50 ) mmHg at 1 month after operation and(16. 11 ± 3. 44) mmHg at 3 months after operation(1 mmHg=0. 133 kPa). After operation IOP decreased significantly at each follow-up time point (P =0. 000). At 3 months after operation, the visual acuity (log MAR) was 1. 77 ± 0. 30, the difference was statistically significant between before and 3 months after operation (t=2. 588, P=0. 019). No complication occurred during follow-up. Conclusion Vitrectomy combined with intraocular cyclophotocoagulation for severe ocular trauma with angle recession glaucoma is effective.