Yu M R, Luo Y
Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai 200031, China.
Zhonghua Yan Ke Za Zhi. 2017 Nov 11;53(11):863-867. doi: 10.3760/cma.j.issn.0412-4081.2017.11.013.
Postoperative glaucoma is one of the most common complications after congenital cataract surgery and an important cause of unsatisfactory long-term visual acuity rehabilitation. Recently, the diagnostic criteria of glaucoma after congenital cataract surgery have been gradually complemented; the measurement of intraocular pressure is improved and the follow-up is standardized. The risk factors of glaucoma after congenital cataract surgery include age at surgery, ocular abnormalities and central corneal thickness, some of which still remain controversial. The main treatment of postoperative glaucoma is surgery, while some patients need adjuvant medications in addition to surgery. .
术后青光眼是先天性白内障手术后最常见的并发症之一,也是长期视力康复效果不理想的重要原因。近年来,先天性白内障手术后青光眼的诊断标准逐渐完善;眼压测量方法得到改进,随访也更加规范。先天性白内障手术后青光眼的危险因素包括手术年龄、眼部异常和中央角膜厚度等,其中一些仍存在争议。术后青光眼的主要治疗方法是手术,而一些患者除手术外还需要辅助药物治疗。