Etiology and treatment of secondary glaucoma after vitreoretinal surgery
10.3980/j.issn.1672-5123.2020.5.13
- VernacularTitle:玻璃体视网膜手术后继发性青光眼的病因及治疗
- Author:
Ya-Qun Cai
1
Author Information
1. Affiliated Eye Hospital of Nanchang University, Jiangxi Research Institute of Ophthalmology & Visual Sciences, Nanchang 330006, Jiangxi Province, China
- Publication Type:Review
- Keywords:
vitreoretinal surgery;
secondary glaucoma;
silicone oil filling;
scleral buckling;
vitrectomy;
high intraocular pressure;
drainage valve implantation
- From:
International Eye Science
2020;20(5):806-809
- CountryChina
- Language:Chinese
-
Abstract:
Surgical treatment of vitreoretinal diseases, including scleral buckling, vitrectomy, and vitreous cavity gas injection or oil injection,may lead to increased intraocular pressure after surgery. If not treated promptly, it may develop into secondary glaucoma and lead to permanent vision loss. The causes of secondary glaucoma after vitreoretinal surgery are complex and varied. Different treatment methods can be used according to the different causes of the patients. Early glaucoma is mainly treated with drugs or lasers, while patients with advanced glaucoma are treated with multiple surgeries. However, the failure rate of traditional trabeculectomy is high, and glaucoma drainage valve implantation can effectively reduce intraocular pressure. This article reviews the pathogenesis of high intraocular pressure after routine vitreoretinal surgery and the current research progress in treatment at home and abroad.
- Full text:202005013.pdf