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[儿童先天性白内障摘除术后的青光眼]

[Glaucoma after congenital cataract extraction in children].

作者信息

Samochowiec-Donocik E, Koraszewska-Matuszewska B, Rynkiewicz E, Papiez M

机构信息

Kliniki Okulistyki Dzieciecej I Katedry Okulistyki Slaskiej AM, Katowicach.

出版信息

Klin Oczna. 1993 Feb;95(2):75-7.

PMID:8350577
Abstract

The clinical material comprised 45 eyes in 33 children aged from 5 months to 8 years. In the period of 5 days to 7 years after congenital cataract surgery, an increased intraocular pressure has been observed. Antiinflammatory treatment, optic, cyclocryotherapy, synechia-lysis, anterior vitrectomy, YAG-laser and trabeculectomy were applied, depending on the mechanisms that caused the increase of intraocular pressure. In 1-5 years follow-up, the control of intraocular pressure, using the pharmacological treatment and/or surgery, was obtained in 88.4% of the cases. On admission, the enlargement of the eyeball was observed in 26.6% of children, whereas in every fifth of them the cupping of the optic disc was recorded.

摘要

临床资料包括33名年龄在5个月至8岁的儿童的45只眼睛。在先天性白内障手术后5天至7年的期间内,观察到眼压升高。根据导致眼压升高的机制,采用了抗炎治疗、视神经治疗、睫状体冷冻疗法、虹膜粘连分离术、前部玻璃体切除术、YAG激光和小梁切除术。在1至5年的随访中,88.4%的病例通过药物治疗和/或手术实现了眼压控制。入院时,26.6%的儿童观察到眼球增大,其中每五分之一的儿童记录到视盘杯状凹陷。

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