目的:探讨玻璃体切割联合硅油填充术后继发高眼压的发病原因及处理方法。方法:对在我院行硅油填充术的97例97眼患者进行术后眼压回顾性研究。结果:术后39眼(40%)发生高眼压,其中2wk内高眼压12眼(12%),2～8wk内高眼压8眼(8%),8wk以上高眼压19眼(20%);经过药物、手术等对症治疗后大多恢复正常。结论:继发性高眼压是玻璃体切割联合硅油填充术后常见并发症之一,术后炎症反应、硅油填充过量、硅油进入前房、硅油乳化等是高眼压发生的主要因素,人工晶状体眼或无晶状体眼高眼压发生率更高;药物和手术治疗可有效控制眼压。

AIM:To study the causes and treatment of secondary glaucoma after silicone oil tamponade.METHODS:Retrospective analysis was done in 97 eyes which underwent silicone oil tamponade.RESULTS:Secondary intraocular hypertension occurred in 39 eyes(40%),and 12 eyes(12%) occurred in two weeks,8 eyes(8%) occurred in the second to eighth week,19 eyes(20%) over eight weeks;Most eyes recoverred well through medicine or operation.CONCLUSION:Secondary intraocular hypertension is one of the common complications after silicone oil tamponade.Inflammatory reaction,over silicon oil,silicon oil going into the anterior chamber,and silicon oil emulsifying are the main causes of intraocular hypertension.Intraocular hypertension is more often in introcular lens or aphakic eyes.Medicine and operation are effective treatments.

R779.6