不同手术方式治疗晚期新生血管性青光眼的临床研究

    The clinical effect of different operation methods in the treatment of late neovascular glaucoma

    • 摘要: 目的:比较不同手术方式治疗晚期新生血管性青光眼的临床疗效。方法:将46例晚期新生血管性青光眼患者随机分成2组。A组23例采用睫状体及周边视网膜冷凝术,B组23例采用睫状体及周边视网膜冷凝术联合小梁切除自体巩膜条引流术。术后随访 6~12个月,观察2组患者术后眼压、虹膜新生血管、眼球外形及并发症等情况。结果:2组患者眼压控制率和虹膜新生血管消退率及眼球萎缩率差异均有统计学意义(P<0.05~P<0.01)。结论:睫状体及周边视网膜冷凝术联合小梁切除自体巩膜条引流术治疗晚期新生血管性青光眼的疗效确切,不仅能长期有效地控制眼压,而且能很好地保留眼球外观,且术后并发症少。

       

      Abstract: Objective: To compare the clinical effects of different operation methods in the treatment of late neovascular glaucoma.Methods: Forty-six patients with neovascular glaucoma were randomly divided into A and B groups(23 cases each group).Group A were treated with the ciliary body and peripheral retina condensation technique,group B were treated with the ciliary body and peripheral retina condensation technique combined with trabecular resection of autologous sclera drainage.All cases were followed up for 6 to 12 months.The postoperative intraocular pressure,iris neovascularization,eye shape and complications in two groups were observed.Results: The differences of the control rate of intraocular pressure,fading rate of iris neovascularization and atrophy rate of eyeball between two groups were statistically significant(P<0.05 to P<0.01).Conclusions: The clinical effects of the ciliary body and peripheral retina condensation technique combined with trabecular resection of autologous sclera drainage in the treatment of late neovascular glaucoma are good,which can effectively control the intraocular pressure for a long time,well retain eye appearance,and reduce the postoperative complications.

       

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