Ophthalmology in China ›› 2015, Vol. 24 ›› Issue (1): 40-43.doi: 10.13281/j.cnki.issn.1004-4469.2015.01.011

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The classification and treatment methods of secondary glaucoma in Eye Hospital of Hebei Province in 2006-2013 

LU Wen-sheng, HAN Dong, YANG Gui-ping, LV Jian-hua, CHENG Su-mian.   

  1. Eye Hospital of Hebei Province, Eye Disease Treatment Center in Hebei Province, Province Key Laboratory of Ophthalmology, Xingtai 054001, China
  • Received:2014-05-23 Online:2015-01-25 Published:2015-01-27
  • Contact: LV Jian-hua, Email: jhldoctor@163.com

Abstract: Objective To investigate the classification and treatment methods of secondary glaucoma in Eye Hospital of Hebei Province in 2006-2013. Design Retrospective case series. Participants 1178 cases (1361 eyes) were hospitalized with secondary glaucoma were analyzed in Eye Hospital of Hebei Province from June 2006 to March 2013.  Method The diagnosis, age and treatment scenario of patients with secondary glaucoma was retrospectively analyzed.  Main Outcome Measures Etiology of secondary glaucoma and constituent ratio. Results  There were 1178 cases of secondary glaucoma, which were divide into neovascular glaucoma, traumatic glaucoma, phacogenic glaucoma, glaucoma secondary to uveitis, glaucoma secondary to keratitis and others. Constituent ratio was 37.0% (436 cases 522 eyes), 12.2% (166 cases 166 eyes), 15.7% (185 cases 201 eyes), 13.6% (160 cases176 eyes), 5.4% (63 cases 71 eyes), 14.3%(168 cases 225 eyes), respectively. In neovascular glaucoma, the diabetic retinopathy and retinal vein occlusion were major etiology. Dislocation of lens caused by blunt trauma (27.7%) and hyphema or vitreous hemorrhage (25.9%) made the larger percentage in traumatic glaucoma. The lens inflation (36.8%) accunted for the larger percentage in phacogenic glaucoma. Surgical therapy was performed in 1204 eyes (88.5%), in which trabeculectomy was performed in 351 eyes (29.2%), Ahmed valve implantation in 257 eyes (21.3%), ciliary body condensation in 131 eyes (10.9%), cataract extraction and filtering surgery was 127 eyes (10.5%), ciliary body photocoagulation was in 122 eyes (10.1%), only removal of the lens was in 84 eyes (7.0%), other surgery in 132 eyes (11.0%). Conclusions In the classification of secondary glaucoma in Eye Hospital of Hebei Province in 2006-2013, the majority is neovascular glaucoma, traumatic glaucoma, phacogenic glaucoma, glaucoma secondary to uveitis. The treatment methods for secondary glaucoma are various based on different etiology. (Ophthalmol CHN, 2015, 24: 40-43)

Key words: secondary glaucoma/etiology, secondary glaucoma/treatment