Causes analysis of early postoperative high intraocular pressure of angle - closure glaucoma underwent compound trabeculectomy
10.3980/j.issn.1672-5123.2014.09.41
- VernacularTitle:闭角型青光眼行复合式小梁切除术后早期高眼压的原因分析
- Author:
Ya-Nan, LI
;
Yun-Dong, YANG
;
Si-Tuo, LIANG
;
Wen-Zong, ZHOU
;
Shen, XU
- Publication Type:Journal Article
- Keywords:
angle - closure glaucoma;
compound trabeculectomy;
early stage;
high intraocular pressure
- From:
International Eye Science
2014;(9):1691-1693
- CountryChina
- Language:Chinese
-
Abstract:
To analyze the causes and treatments of high intraocular pressure ( > 21mmHg ) of angle - closure glaucoma underwent compound trabeculectomy 1mo after surgery.
●METHODS: This was a retrospective study of our hospital, from March 2010 to March 2013. Thirty-four (38 eyes) of angle-closure glaucoma patients were collected, who underwent compound trabeculectomy with high intraocular pressure ( > 21mmHg) 1mo after operation. We analyzed the causes and summarized the treatments.
●RESULTS:The causes which lead to early postoperative high intraocular pressure included malignant glaucoma (9 eyes of 8 cases), blood clot and connective tissue block under the scleral flap (15 eyes of 13 cases), hyphema after surgery(5 eyes of 5 cases), sclera flap incision was incarcerated with iris tissue ( 3 eyes of 3 cases ), preoperative high intraocular pressure for a long time(5 eyes of 4 cases), 1 eye of 1 case for unknown reason. After proper treatments, intraocular pressures of all patients were bellowed 21mmHg.
● CONCLUSlON: Early postoperative high intraocular pressure of angle - closure glaucoma underwent compound trabeculectomy is caused by various factors, and the early prevention and timely treatment are key points of a successful operation.
