Risk factors of malignant glaucoma for primary angle closure glaucoma patients after surgery
10.7644/j.issn.1674-9960.2017.03.015
- VernacularTitle:原发性闭角型青光眼术后并发恶性青光眼的多因素分析
- Author:
Peng WANG
;
Feifan DU
;
Bing HAN
;
Zhihong WU
- Keywords:
glaucoma;
angle-closure;
malignant glaucoma;
risk factors;
ophthalmology;
surgery
- From:
Military Medical Sciences
2017;41(3):227-229
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors of malignant glaucoma for primary angle-closure glaucoma(PACG) patients after surgery.Methods Clinical data of elderly patients with PACG who had received surgical treatment at our hospital between 2013 and 2016 were retrospectively analyzed.Patients were divided into two groups according to whether they suffered (Group A) or not (Group B) from malignant glaucoma after surgery.Results A total of 238 patients (315 eyes) were retrospectively analyzed: 17 cases (22 eyes) in Group A and 221 cases (293 eyes)in Group B.The index of axial length, chamber depth and crystal thickness was lower in Group A than in Group B,and the difference was statistically significant(P<0.05).Univariate analysis showed that age under 50, continuous high intraocular pressure, axial length below 22 mm, chamber depth below 2 mm, crystal thickness below 4.5 mm, completely closed anterior chamber angle and chronic angle-closure type were the possible risk factors for malignant glaucoma after surgery (P<0.05).The logistic regression analysis showed that age under 50 and axial length below 22 mm were independent risk factors for malignant glaucoma for PACG patients after surgery.Conclusion PACG patients,especially those who are young or with short axial length,are more vulnerable to malignant glaucoma.
