Treatment of patients with rhegmatogenous retina detachment combined with non-secondary glaucoma.
- Author:
Zhi-wei JIANG
1
;
Luo-sheng TANG
;
Xiao-hua ZHU
;
Xiao-jian GUO
;
De-yong JIANG
;
Ling GONG
Author Information
1. Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Child;
Female;
Glaucoma;
complications;
surgery;
Humans;
Male;
Middle Aged;
Retinal Detachment;
complications;
surgery;
Retrospective Studies;
Visual Acuity;
Vitrectomy
- From:
Journal of Central South University(Medical Sciences)
2008;33(8):737-740
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To discuss the cause of disease, treatment and therapeutic effect in patients with rhegmatogenous retina detachment (RRD) combined with non-secondary glaucoma.
METHODS:Clinical data of 28 patients with RRD combined with primary or congenital glaucoma were retrospectively analyzed.
RESULTS:Twenty-five out of the 28 patients succeeded with one operation (89.3%). The intraocular pressure of post-operation:on the 1st day was 10 approximately 46 (28.1+/-6.5) mmHg, on the 7th day was (18.9+/-7.2) mmHg, and on the last re-examination day was (17.6+/-6.2) mmHg. Anti-glaucoma operation was performed in 10 patients after the retinal operation. Chroidal hemorrhage was found in 2 patients and 2 chroidal exudations were found after the retinal operation.
CONCLUSION:The proportion of primary open angle glaucoma is higher than that of primary angle closure glaucoma, and trauma or surgery before the retinal operation is an important cause in glaucoma patients with RRD. There is no obvious difference in the ratio of surgical success between non-secondary glaucoma with RRD and those RRD patients without glaucoma. Vitreotomy+ silicon oil injection or drainage of subretinal fluid+air injection+cryocoagulation+explants is recommended. Chroid is easily involved. It is important to control the intraocular pressure during and after the surgery. The final visual acuity is rather poor, which may be related to the glaucoma and intraocular pressure.
