眼科学报2002，Vol.18Issue(3)：156-159,4.
The Management of Secondary Glaucoma in Nanophthalmic Patients
The Management of Secondary Glaucoma in Nanophthalmic Patients
Shengsong Huang 1Minbin Yu 1Changyu Qiu 1Tiancai Ye1
作者信息
- 1. Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
- 折叠
摘要
Abstract
Purpose: To investigate the clinical characteristcs, management of secondary glaucoma in nanophthalmos, and the prevention of its complications.Methods: Retrospectively, 9 cases (17 eyes) with nanophthalmic glaucoma were studied.Results: The axial length of the eyes ranged (14.36 ～ 19.33) mm; All of the cases combined with hyperopia ranged (+7.00～+16.00)D. All 17 eyes had the manifestation like angle-closure glaucoma.The glaucoma was controlled in 9 of 17 eyes at the early stage, which underwent laser iridotomy (4 of 9 eyes also underwent laser iridoplasty). 1 eye underwent ciliary photocoagulation because its visual acuity was lost and the patient complained of pain. The other 7 eyes underwent filtration surgery and 3 of them had permanent loss of vision caused by disastrous complications after the surgery.Conclusions: Management of secondary glaucoma in nanophthalmos is complicated. The laser iris surgery is safe and effective in glaucoma at the early stage. Vortex vein decompression, sclerotectomy or anterior sclerotomy may be performed to reduce disastrous complications. 关键词
nanophthalmos/glaucoma/managementKey words
nanophthalmos/glaucoma/management分类
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Shengsong Huang,Minbin Yu,Changyu Qiu,Tiancai Ye..The Management of Secondary Glaucoma in Nanophthalmic Patients[J].眼科学报,2002,18(3):156-159,4.
