目的:回顾性评价Ahmed青光眼阀植入、晶状体玻璃体切除联合手术治疗外伤性晶状体半脱位继发青光眼的临床疗效。方法:对9眼外伤性晶状体半脱位继发青光眼患者行Ahmed青光眼阀植入、晶状体及前部玻璃体切除、人工晶状体睫状沟固定联合手术。结果:术后视力提高8眼;眼压由术前的44.11±8.85mmHg降至14.78±5.52mmHg;并发症主要有一过性低眼压、引流管内口阻塞和引流盘周纤维包裹等,经过处理均得到良好的恢复。结论:Ahmed青光眼阀植入、晶状体及前部玻璃体切除联合人工晶状体睫状沟固定手术是治疗外伤性晶状体半脱位继发青光眼安全有效的手术方法。

AIM:To explore the clinical effect of Ahmed glaucoma valve implant combined with lensectomy and vitrectomy for glaucoma secondary to traumatic lens subluxation.METHODS:Nine eyes which performed Ahmed glau-coma valve implant combined with lensectomy and vitrectomy and ciliary sulcus fixation of intraocular lenses for glaucoma secondary to lens subluxation were retros-pectively analyzed.RESULTS:The visual acuity was improved in 8 eyes after surgery.The intraocular pressure decreased from 44.11±8.85mmHg pre-operation to 14.78±5.52mmHg.The complications concluded transient hypotony,tube block-age,and drainage disk encapsulation,and they all recovered well after treatment.CONCLUSION:Ahmed glaucoma valve implant combined with lensectomy and vitrectomy and ciliary sulcus fixation of intraocular lenses is a safe and effective way to treat glaucoma secondary to traumatic lens subluxation.

R779.6