The management of ciliary block glaucoma in nanophthalmic patients

中国实用眼科杂志 Pub Date : 2017-11-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.11.009

Ming Huo, Jie-yu Dong, Hai-jiang Zhang

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Abstract

Objective To discuss the method and effect of the treatment to nanophthalmos with developed ciliary block glaucoma after glaucoma or cataract surgery. Methods Seven cases who had been diagnosed nanophthalmos with developed ciliary block glaucoma after glaucoma or cataract surgery were treated bgcombining trabeculectomy, phacoemulsification, foldable intraocular lens implantation, transconjunctival sutureless vitrectomy in anterior segment using 23-gauge instruments (triple procedure). The average follow-up time was 2 years. Results Corrected vision of 7 cases were enhanced after the operation and the intraocular pressure were kept stability between 10-20mmHg. Seriously threatening the visual function during and after an intraocular operation was not occurred. Conclusions It is an effective and safe surgery combined trabeculectomy, phacoemulsification, foldable intraocular lens implantation, transconjunctival sutureless vitrectomy in anterior segment using 23-gauge instruments, in curing nanophtalmos with developed ciliary block glaucoma. The vitrectomy in anterior segment using 23-gauge instruments in curing nanophtalmos developed ciliary block glaucoma may reduce the disastrous complications of filtration surgery. Key words: Nanophthalmos; Ciliary block glaucoma; Treatment

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纳米眼患者睫状体阻塞性青光眼的治疗

目的探讨青光眼或白内障术后纳米眼并发睫状青光眼的治疗方法及效果。方法对7例在青光眼或白内障手术后确诊为纳米眼并发睫状体阻塞性青光眼的患者，采用23号器械联合小梁切除术、超声乳化术、可折叠人工晶状体植入术、经结膜无缝线前段玻璃体切除术(三联手术)。平均随访时间为2年。结果7例患者术后矫正视力增强，眼压稳定在10 ~ 20mmhg之间。在眼内手术中及术后未发生严重威胁视力的情况。结论小梁切除术、超声乳化术、可折叠人工晶状体植入术、23号器械经结膜无缝线前段玻璃体切除术联合手术治疗纳米眼并发睫状体型青光眼是一种安全有效的手术方法。采用23号器械前段玻璃体切除术治疗纳米眼睫状体型青光眼，可减少滤过手术的严重并发症。关键词:纳米眼;睫状体阻塞性青光眼;治疗

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中国实用眼科杂志

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