YUAN Rong-di,HE Xiang-ge,LIU Shao-zhang,WANG Wei-guang.Clinical treatment for secondary glaucoma due to silicone oil migrating into anterior chamber[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(13):1331-1333.
YUAN Rong-di,HE Xiang-ge,LIU Shao-zhang,WANG Wei-guang.Clinical treatment for secondary glaucoma due to silicone oil migrating into anterior chamber[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(13):1331-1333.DOI:
Clinical treatment for secondary glaucoma due to silicone oil migrating into anterior chamber
Objective To explore the clinical therapeutic methods for secondary glaucoma induced by the migration of silicone oil into the anterior chamber. Methods Totally 26 cases of such secondary glaucoma
including 22 aphakic eyes and 4 phakic eyes were subjected. Silicone oil was directly taken out for the patients whose retina was reposited well after silicone oil injection for over 3 months. The aphakic patients underwent 6 o’clock position peripheral iridectomy with laser or operation on prone position
then silicon oil was reinjected
and trabeculectomy was carried out through inferior cornea. The phakic patients received silicone oil aspiration with Healon from the anterior chamber. When silicone oil remigrated into the anterior chamber
the crystal was resected
silicone oil was reinjected
and 6 o’clock position peripheral iridectomy were performed. The patients were followed up for 3 months after the intraocular pressure (IOP) reaching normal range. Results Except one patient gave up treatment
all the patients had stable and normal IOP after 3 months of follow-up. IOP was controlled through different methods in 21 aphakic eyes: 5 with prone position
5 with 6’clock position peripheral iridectomy through laser or operation
4 with silicon oil reinjecting
2 with direct aspiration of silicone oil
and 3 with trabeculectomy under cornea. IOP was controled in all of phakic eyes: 3 with Healon aspiration of silicone oil
1 with crystal resection and reinjection of silicone oil. Conclusion Secondary glaucoma induced by migration of silicone oil into the anterior chamber can be satisfactorily treated by many ways.