摘要
目的探讨巩膜切除小梁切除联合前房角分离术治疗难治性青光眼的临床疗效。方法持续高眼压状态难治性青光眼39例（39眼），施行中层巩膜切除小梁切除及前房角分离联合手术。术后随访时间6～18月。结果术后视力增进或不变者33眼，不用药物，近期眼压控制（15．24±4．41）mmHg者35眼（89．74％）。远期眼压控制（16．28±4．41）mmHg者33眼（84．61％）。近期获得功能性滤泡31眼（79．49％）。远期获得功能性滤泡29眼（74．35％）。术后2～5天39眼前房逐渐形成，并达术前深度。结论中层巩膜切除、小梁切除联合前房角分离术治疗难治性青光眼疗效较好。
Objective To investigate the effect of sclerectomy combined trabeculectomy and anterior angle dissection for the refractory glaucoma. Methods 39 cases （39 eyes ） of uncontrolled glaucoma received middle layer sclerectomy combined trabeculectomy and anterior angle dissection. Postoperative follow - up was 6 - 18 months. Results After surgery, visual acuity improved or remained unchange in 33 eyes. Without medication, early intraocular pressure was controlled to （15.24 ±4.41 ）mmHg in 35 eyes and 31 eye had functional filtering bleb. Long - term intraocular pressure was controlled to （16.28 ± 4.41 ）mmHg in 33 eyes and 29 eyes had functional filtering bleb. Conclusion Sclerectomy combined trabeculectomy and anterior angle dissection is a good method for refractory glaucoma.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第6期446-448,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
巩膜切除
小梁切除
前房角分离
青光眼
难治性
sclerectomy
trabeculectomy
anterior angle dissection
refractory glaucoma
