摘要
【目的】初步评价眼内窥镜下激光睫状体光凝术(endoscopic cyclophotocoagulation，ECP)在治疗人工晶体植入术后继发青光眼中的疗效。【方法】采用Endo Optiks，URAM E2激光内窥镜系统对21例21眼人工晶体植入术后继发青光眼进行了ECP治疗，观察术后眼压变化、视力以及并发症情况，术后分别随访了6～26个月，平均18.7个月。【结果】21只眼术前眼压平均(5.08±1.69)kPa，术后平均眼压(1.96±1.23)kPa，术前、术后眼压差异有统计学意义(P＜0.001)。术前平均使用降眼压药物3.3种，术后下降到0.6种，差异有统计学意义(P＜0.001)。术后无需应用药物治疗而眼压≤2.8 kPa者占71.4％，需要应用局部药物治疗控制眼压≤2.8 kPa者占14.3％。患者术后视力较术前有增高(P＜0.05)。21只眼中有1只眼术后出现前房积血，有19只眼术后瞳孔区出现纤维素样渗出，1只眼术后发生渗出性脉络膜脱离。这些并发症出现在早期，井在1周内愈合。所有患者术后均未出现视网膜脱离、眼压过低、眼内炎、交感性眼炎等并发症。【结论】ECP能有效地降低人工晶体植入术后继发青光眼的眼压，无严重并发症。ECP是一种治疗人工晶体植人术后继发青光眼的安全有效的方法。
[Objective] To evaluate the efficacy of endoscopic cyclophotocoagulation （ECP） in the management of pseudophakic glaucoma. [Methods] ECP procedures were performed on 21 eyes of 21 pseudophakic glaucoma cases using the Microprobe （Endo Optiks, URAM E2） integrated laser endoscope system, among them 2 eyes received a second treatment. Patients were followed-up for 6-26 months, mean 18.8 months. The changes of postoperative intraocular pressure, visual acuity, and complication were observed. [Results] The mean values of preoperative and postoperative intraocular pressure （IOP） were （5.08±1.69） kPa and （1.96±1.23） kPa, respectively. The differences of IOP were significant （P〈 0.001）. The mean number of anti-glaucomatous drugs decreased from 3.3 preoperatively to 0.6 postoperatively （P〈 0.001）. The IOP≤2.8 kPa in 71.4% of all 21 eyes without any drugs, and 14.3% with supplemental drug treatment. The vision was improved postoperatively （P〈 0.05）. Postoperative complications included hyphema in 1 eye, fibrous exudates in 19 eyes, and exudative choroids detachment in 1 eye. All the complications occurred at the early postoperative stage, and were healed within one week. None of retinal detachment, hypotony, endophthalmitis, or sympathetic ophthalmia was observed. [Conclusions] ECP is a safe and effective procedure for the management of pseudophakic glaucoma, which can decrease the IOP of pseudophakic glaucoma without any serious complications.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2005年第6期703-706,共4页
Journal of Sun Yat-Sen University:Medical Sciences
基金
广东省科技计划基金(2002C30901) 广东省医学科学技术研究基金(B200350)
关键词
继发青光眼
人工晶体
内窥镜
睫状体光凝术
secondary glaucoma
intraocular lens
endoscope
eyelophotocoagulation
