Abstract
Objective To analyse the clinical effects of different surgeries for the treatment of refractory glaucoma secondary to closed ocular trauma. Methods Seventy-two eyes of 72 cases with refractory glaucoma that caused by closed ocular injury were selected and divided into the study group of 35 eyes and the control group of 37 eyes.All patients were accorded to the different treatment plan. The study group underwent aqueous humor drainage device implantation, while the control group was treated by vitrectomy combined with cyclophotocoagulation. The intraocular pressure and visual acuity before and after operation were observed. Results There was no significant difference in the intraocular pressure or visual acuity between two groups before treatment (P>0.05). The intraocular pressure in the study group was lower than that of the control group (P<0.05) after treatment. The visual acuity was improved in two groups(P<0.05)at 3 months postoperative. And the study group is better than control group(P<0.05). Conclusion The aqueous humor drainage device implantation is an effective method in the treatment of refractory glaucoma that caused by closed ocular trauma. Key words: Glaucoma, refractory, secondary; Ocular trauma, closed; Implantation, drainage device; Intraocular pressure
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