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Abstract #12327 Published in IGR 7-2
Clinical analysis of early secondary glaucoma associated with ocular trauma
Wang WQ; Kong LX; Zhang XFChinese Journal of Ophthalmology 2005; 41: 439-442
OBJECTIVE: To determine the classification and management of early secondary glaucoma associated with ocular trauma. METHODS: The records of 139 patients (139 eyes) were reviewed and analyzed. RESULTS: Five different types of early secondary glaucoma associated with trauma were determined by clinical findings: hemorrhage type, chamber angle injury type, lens related type, synechia and proliferation type, and inflammation type. Each type of secondary glaucoma received different therapeutic methods. Thirty-seven cases (26.62%) received medical treatment; 32 cases (23.02%) received medical treatment and anterior chamber paracentesis or washing; 70 cases (50.36%) received other surgical procedures, including vitrectomy, filtration surgery and combine operation. After follow-up for 3 - 6 months, the intraocular pressure (IOP) was successfully controlled without anti-glaucoma medical treatment in 121 eyes (87.05%) (6 mmHg ≤ IOP ≤ 21 mmHg); IOP > 21 mmHg was found in 13 eyes (9.35%) and IOP < 6 mmHg in 5 eyes (3.60%). The postoperative visual acuity was decreased or lost in 7 eyes, remained the same or improved in 132 eyes. Eight eyes had hemorrhage during or after the operation. Two eyes developed retinal detachment. CONCLUSIONS: Clinical findings of early secondary glaucoma associated with trauma are complex. Each subtype of patients should take relevant different treatments. LA: Chinese
Dr. W.Q. Wang, Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. xiwang389@sohu.com.
Classification:
9.4.7 Glaucomas associated with ocular trauma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
