目的:探讨恶性青光眼的发病机制与发病因素、临床症状与体征、治疗方法。方法:对20例恶性青光眼的临床资料进行回顾性分析。结果:通过药物控制眼压恢复的13眼,玻璃体切除术结合药物治疗使病情得到有效控制的6眼,1眼药物治疗失败,因拒绝手术导致失明。结论:充分了解恶性青光眼的发病机制与发病因素、临床症状与体征,制定合理的治疗方案,手术与药物治疗相结合,能有效治疗各种恶性青光眼。

AIM:To probe into pathogenesis and factor,clinical symptom and physical sign,therapeutic method of the malignant glaucoma.METHODS:The clinical data of 20 cases of malignant glaucoma were analyzed retrospectively.RESULTS:Intraocular pressure recovered by drug control in 13 eyes,was effectively controlled by vitrectomy combined with intraoperative medication in 6 eyes,failed in 1 eye by drug treatment,which became blindness for refusing surgery.CONCLUSION:Fully understanding the pathogenesis and factor,clinical symptom and physical sign of the malignant glaucoma,making the rational healing solution,surgery combined with medication,can treat various malignant glaucoma effectively.

R775