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虹膜出血

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The black diaphragm intraocular lens implantation provides an effective method in th e treatment of congenital aniridia or traumatic iris deficiency. Chamber angle impair is major cause of postoperative secondary glaucoma.

结论带虹膜隔人工晶状体植入术可有效治疗白内障合并虹膜缺损;术后继发性青光眼主要与房角损伤有关,人工晶状体襻位置异常、眼内出血、持续性炎性反应也参与其发生。

RESULTS: Complications including cornea injury, iris injury, posterior capsule rupture, iris prolapse and hyphema, were mainly caused by inexpert skill and lacking of experience.

术中并发症主要是角膜损伤、后囊膜破裂、虹膜损伤、虹膜脱出、前房出血,主要原因是技术不熟练和操作经验不足。

Results iop under controlled in 45 cases, intra-and post-operation complications occur, including iridocyclitis in 12 cases, shallow anterior chamber in 9 cases, hyphema in 6 cases , lens opacity in 5 cases.

结果 45例术后眼压控制在正常范围,术中、术后发生并发症,其中虹膜炎症反应19例、浅前房9例、前房出血6例、晶体混浊5例。

Methods to analyse the cause of hyphema, iridocyclitis, shallow anterior chamber, lens opacity of 52 cases undertaking trabeculectomy.

对接受小梁切除术治疗的52例患者发生前房出血、虹膜炎症反应、浅前房、白内障的原因进行临床分析。

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%)。

The Nd: YAG laser iridotomy hemorrhage can be minimized by thor- ough coagulating burns of the target tissue from an argon laser. The initial several argon laser burns may cause iris vessels congested and result in more severe bleeding during the succedent Nd: YAG laser shots.

三、先用氩激光热凝虹膜,能否减少后继Nd:YAG激光击射所致的虹膜出血,取决于组织的热凝固程度,如热凝不充分,基质血管扩张充血,反有加重出血程度的可能。

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