国际眼科杂志Issue(9)：1694-1696,3.DOI:10.3980/j.issn.1672-5123.2014.09.42
PDR 玻璃体切割术后继发新生血管性青光眼的再次手术分析
Analysis of secondary surgery for neovascular glaucoma after vitrectomy in PDR
刘静 1韩泉洪1
作者信息
- 1. 300020 中国天津市，天津医科大学眼科临床学院天津市眼科医院 天津市眼科学与视觉科学重点实验室 天津市眼科研究所
- 折叠
摘要
Abstract
To investigate risk factors and efficacy of reoperation for neovascular glaucoma ( NVG) secondary to vitrectomy in proliferative diabetic retinopathy (PDR). <br> ●METHODS:Seven cases (7 eyes) from October, 2009 to December, 2012 were analyzed retrospectively. All the patients had NVG after the primary vitrectomy for PDR and were performed secondary vitrectomy combined with laser photocoagulation . <br> ●RESULTS: The mean intraocular pressure ( lOP) was (11. 21±4. 22)mmHg before primary surgery. The number of laser spots ranged from 622 to 1124 during the first vitrectomy. Cataract extraction was performed in all 7 cases and intraocular lens was implanted in 5 cases. The mean lOP was (10. 11± 3. 62) mmHg during 2mo after the primary surgery. During follow- up, all the patients had significantly progressive intraocular inflammation. Vitreous hemorrhage was not absorbed completely in 2 cases and recurrent vitreous hemorrhage occurred in the other 5 cases. Five cases had poor glycemic control and the other 2 cases had bad blood pressure control. NVG occurred in all 7cases. The mean lOP was (41. 13 ± 7. 76) mmHg before the secondary surgery. After the secondary surgery, the lOP were under control in 5 cases. For the other 2 cases, the lOP was controlled in one case by transscleral cyclophotocoagulation, another one was lost in follow-up with uncontrolled lOP. <br> ●CONCLUSlON: Primary vitrectomy combined with lens extraction, insufficient laser speckle, unabsorbed and recurrent vitreous hemorrhage, intraocular inflammation and systemic condition may be the risk factors associated with the occurrent of NVG after vitrectomy in PDR. Secondary vitrectomy combined with sufficient retinal photocoagulation is efficiency for NVG after vitrectomy for the PDR.关键词
糖尿病视网膜病变/玻璃体切割术/新生血管性青光眼/再次手术Key words
diabetic retinopathy/vitrectomy/neovascular glaucoma/secondary surgery引用本文复制引用
刘静,韩泉洪..PDR 玻璃体切割术后继发新生血管性青光眼的再次手术分析[J].国际眼科杂志,2014,(9):1694-1696,3.
