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Results (1)In the group (109 eyes) with preoperative intraocular pressure≤21mmHg,sixty-four eyes were treated with trabeculectomy,and 31 eyes with slerectoiridectomy of which there were 9(14.1%) and 7(20.6%) eyes had undergone PAC respectively.There was no PAC in 11 eyes treated with iridencleisis;(2)In the group(175 eyes)with PIOP from 22 to 35 mmHg,there were 26 eyes(25.2%) and 15 eyes(32.6%) developing PAC of 103 eyes treated with trabeculectomy,and 46 eyes with slerectoiridectomy respectively,of 26 eyes with iridencleisis,there were 5 eyes(19.2%) developing PAC;(3)In the group(106 eyes)with PIOP＞35mmHg,there were 13 eyes(31%) developing PAC of 23 eyes with trabeculectomy,5 eyes(21.7%) developing PAC of 23 eyes with slerectoiridectomy.

结果 (1)术前眼压≤21mmHg(1mmHg=0.133kPa)者109只眼，小梁切除术64只眼，术后浅前房9只眼，占14.1%，巩膜咬切术31只眼，术后浅前房7只眼，占20.6%，虹膜嵌顿术11只眼，术后无浅前房发生；(2)术前眼压22-35mmHg者175只眼，小梁切除术103只眼，术后浅前房26只眼，占25.2%，巩膜咬切术46只眼，术后浅前房15只眼，占32.6%，虹膜嵌顿术26只眼，术后浅前房5只眼，占19.2%；(3)术前眼压＞35mmHg者106只眼，小梁切除术42只眼，术后浅前房13只眼，占31%，巩膜咬切术23只眼，术后浅前房5只眼，占21.7%，虹膜嵌顿术41只眼，术后浅前房5只眼，占12.2%。

Results Totally 550 eyes' the best corrected visual acuity was more than 0.51-3 months after surgery, accounting for 94.83%; 30 eyes (5.17%) had iris prolapse and intraoperative complications; 4 eyes (0.69%) had iridodialysis; 6 eyes 1.03% had posterior capsule rupture; 30 eyes (5.17%) had hyphema; 30 eyes had (5.17%); 109 eyes (18.79%) had postoperative complications, including corneal edema in 50 eyes (8.62%, of which endothelial-like opacity in 40 eyes); 40 eyes (6.90%) had inflammation of anterior chamber; 10 eyes (1.72%) had transient high intraocular hypertension; 5 eyes (0.86%) had hyphema, 4 eyes had pupillary capture.

结果 术后1~3月最佳矫正视力大于等于0.5的有550只眼(94.83%)，术中并发症，虹膜脱出30只眼(5.17%)，虹膜根部离断4只眼(0.69%)，晶状体后囊破裂6只眼(1.03%)，前房出血30只眼(5.17%)，后弹力层脱离30只眼(5.17%)。术后并发症109只眼(18.79%)包括角膜水肿50只眼（8.62%，其中内皮条样混浊40只眼），前房纤维渗出40只眼(6.90%)，短暂性高眼压10只眼(1.72%)，前房积血5只眼(0.86%)瞳孔夹持4只眼(0.70%)。

Results In 950 patients with successful cataractous operations,187 eyes(18.4%)had the vision of super-1.0,395 eyes(39.5%)had the Vision of 1.0-0.5,292 eyes(29.2%)had the vision of 0.5-0.3,106 eyes(10.4%)had the vision of 0.1-0.3,25 eyes(2.5)had the vislon of below-0.1.In 950 patients,242 eyes(24.2%)had diabetic retinopathy,15l eyes(15.1%)had aged-related macular degeneration,27 eyes(2.7%)had ischemic optic neuropathy,7 eyes(0.07%)had choroiditis,15 eyes(1.5%)had retinal vein occlusion,12 eyes(1.2%)had cystoid macular edema,5 eyes(0.2%)had traumatic retinopathy.

结果 950例患者的l 005只眼中，187只眼(18.4%)视力达1.0以上，395只眼(39.5%)视力在1.0-0.5，292只眼(29.2%)视力在0.5-0.3，106只眼(10.4%)视力在0.3-0.1，25只眼(2.5%)视力低于0.1.950例患者的1005只眼中，242只眼(24.2%)息有糖尿病视网膜病变，151只眼(15.1%)息有老年性黄班变性，27只眼(2.7%)息有缺血性视神经病变，7只眼(0.07%)息有陈旧性脉络膜炎，15只眼(1.5%)患有视网膜静脉闭塞，12只眼患有黄斑囊样水肿(1.2%)，5只眼(0.05%)患有外伤性视网膜病变。

RESULTS: Out of 149 eyes, 90 eyes were atrophic AMD (60.4%), 59 eyes were exudative AMD (39.6%) which were further divided, according to the composition and location of lesion, into subfoveal choroidal neovasculari-zation7 eyes of classic type, 26 eyes of occult type, 9 eyes with disciform cicatrices, juxtafoveal CNV(2 eyes of classic type, 12 eyes of occult type, and extrafoveal CNV(3 eyes of occult type).

结果：在149眼中，萎缩型90眼(60.4%)，渗出型59眼(39.6%)，依据CNV造影特点和CNV与黄斑中心凹的距离分为中心凹下CNV包括经典型7眼，隐匿型26眼，盘状瘢痕化9眼，旁中心凹CNV包括经典型2眼，隐匿型12眼，中心凹外CNV 3眼均为隐匿型。

Resultsthe iop of 19 eyes (20.7%) were higher than 2.8 kpa (21 mmhg), of which, 14 eyes returned to normal seven days after 0.5% timolol administration, two eyes returned to normal after two months. three eyes showed high iop two months after injection. after combination therapy, the iop of one eye was still at 3.47-4.67 kpa (26-35 mmhg), eight eyes showed aqueous flare one day after ta injection, but the symptom disappeared the next day. two eyes showed hypopyon and vitreous opacity. with systemic and local antibiotic, the inflammation disappeared after one week. three eyes showed retinal hemorrhage.

结果 92只眼中，术后眼压高者19只眼，给予5 g/l噻吗洛尔眼液点眼，7 d后14只眼眼压恢复正常；2只眼控制在4 kpa以下，持续用药2个月后降至正常；3只眼眼压在注药后2个月才出现高眼压，联合用药后1只眼眼压仍在3.47～4.67 kpa.8只眼术后第1天出现前房闪辉，第2天消失。2只眼术后第1天出现前房积脓，玻璃体腔混浊，经局部及全身抗炎治疗，局部应用复方托吡卡安散瞳，1周后炎症消退。3只眼术后第1天发现视网膜局部小片状出血。

Results Bleeding occurred on the top of the cornea in 30 eyes(58.8%) and in lower part of the cornea in 9 eyes(17.6%),12 eyes had bleeding at 2 spots(23.5%);half month after operation,overcorrection was found in 30 eyes,undercorrection in 11 eyes,5 eyes showed irregular astigmatism;7 eyes were operated on again to raise eyesight.

然而，由于角膜瓣的缘故，临床治疗中有部分病人发生出血，对手术后的疗效产生了不同程度的影响。

The patients include 10 patients(20 eyes) of VogtKoyanagiHarada syndrome, 1 patients(2 eyes) of Behcet diseases, 11 patients(21 eyes) of other uveitis, 5 patients (9 eyes) of papolloedema, 2 patients(2 eyes) of choroidal tumor, 2 patients(4 eyes) of, hypotony with macular degeneration, 1 patient(2 eyes) of,Graves diseases, 1 patient (1 eye) of,blunt trauma and 1 patient(1 eye) of uveal effusion syndrome.

其中伏格特-小柳-原田综合征10例20只眼，Behccet病1例2只眼，其他类型葡萄膜炎11例21眼，视盘水肿5例9只眼，脉络膜肿瘤2例2只眼，低眼压性黄斑病变2例4只眼，Graves眼病1例2只眼，眼钝挫伤1例1只眼，脉络膜渗漏综合征1例1只眼。

Results:One hundred and eleven eyes were treated with PRP, 95 eyes were treated with mild-PRP. Visual acuity was increased by 1～3 lines in 82 eyes(35%), not changed in 94 eyes(46%) and decreased in 30 eyes(19%). On Fundus fluorescein angiography 3 months later, new vessels shrinked and retinal edema recovered in most cases, but in 10 eyes, new vessels and small nonperfusional areas still could be seen after the treatment, which was treated again.

结果：111只眼行广泛视网膜光凝术治疗，95只眼行亚广泛视网膜光凝术治疗。82只眼视力提高1～3行，占35%；94只眼视力无变化，占46%；30只眼视力下降，占19%。3个月后行荧光素眼底血管造影检查，新生血管大部分萎缩，视网膜水肿消退，有10只眼残留新生血管及小片状无灌注区，再次补充光凝。

Abstract］ objective to assess a new imaging technique,optical coherence tomography,for the diagnosis of central serous choroidoretinopathy.methods forty-five cases (45 eyes) of csc were examined by ophthalmoscopy,binocular indirect ophthalmoscopy and oct.some patients were monitored by oct.results in images of oct in 45 eyes of csc,42 eyes showed serous neurosensory detachement,2 eyes appeared retinal pigment epithelial detachement and 1 eyes combined neurosensory detachement with pigment epithelial detachement.monitoring images of oct in 9 eyes revealed absorption of serous fluid and decrease of neurosensory detachment.conclusion oct is potentially useful as a new and noninvasive diagnostic technique for quantitative examination of patients with csc and objectively monitoring the clinical course of the serous retinal detachement in this disease.

摘要］ 目的评价光学相干断层成像(optical coherence tomography，oct )对中心性浆液性脉络膜视网膜病变的临床诊断价值。方法对45例(45眼)中心性浆液性脉络膜视网膜病变患者散瞳后分别进行直接检眼镜、双目间接检眼镜、oct 检查。9例复查时再次进行oct检查。结果 45眼中心性浆液性脉络膜视网膜病变的oct 图像，42眼表现为单纯神经上皮层脱离，2眼为单纯色素上皮层脱离，1眼同时存在神经上皮层脱离和色素上皮层脱离。9眼复查的oct通过测量脱离高度的降低可观察到液体的不同程度吸收。结论 oct 是一种新的、无损伤性的、非接触性的、并能定量的检查方法，能明确中心性浆液性脉络膜视网膜病变的脱离部位，并能进行定量的追踪观察。

Results 15 eyes of peripheral retinal dry hole and peripheral retinal degeneration were treated only by laser treatment and successful rate was 100%;10 eyes with local rhegmatogenous retinal detachment,were initially treated with herbal dehydrant,followed by laser treatment and successful rate was 80%;2 eyes failed due to the traction of vitrous were successfully treated with the aids of local pad;141 eyes with retinal detachment were treated by scleral buckling combined with krypton laser and success rate was 96.5%,5 eyes failed due to the traction of vitrous were successfully treated with the aids of vetroretional operation;27 eyes with complicated retinal detachment were treated by vetroretional operation,followed by intro????and post????

结果 视网膜周边干性裂孔和视网膜周边变性单纯用氪多波长激光治疗15眼，成功100%；局限性孔源性视网膜浅脱离10眼，先使用脱水剂、卧床休息、单眼加压包扎等措施，而后行激光治疗，成功率80%，2眼因玻璃体有牵引结合局部垫压术后成功；巩膜外扣带术后激光封孔141眼，成功率96.5%。5眼因玻璃体有牵引行玻璃体手术后眼内激光封闭裂孔成功；复杂性视网膜脱离经玻璃体切割手术，术中及术后激光封闭裂孔27眼，成功100%。

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