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小梁切除术治疗开角性、闭角性和继发性青光眼51例(71只眼),术后脉络膜脱离者5只眼(均为开角性青光眼),占7.04％。1例因保守治疗无效且病情恶化而手术治疗,其它均保守治疗。作者体会除皮质激素、散瞳等治疗外,服用益气活血的中药可获得较好的疗效。本文就脉络膜脱离的原因、治疗和预防进行了讨论,指出第一眼术后发生脉络膜脱离者,另一眼术后往往也会发生,故应注意观察和预防。
Trabeculectomy for open angle, angle closure and secondary glaucoma in 51 cases (71 eyes), postoperative choroidal detachment in 5 eyes (all open angle glaucoma), accounting for 7.04%. 1 case of conservative treatment ineffective and deterioration of the surgical treatment, the other are conservative treatment. The author learned that in addition to corticosteroids, mydriasis and other treatment, the use of traditional Chinese medicine Yiqihuoxue get better results. This article discusses the causes, treatment and prevention of choroidal detachment. It is pointed out that choroidal detachment occurs after the first operation and the other one often occurs after operation, so it should be observed and prevented.