Compound trabeculectomy for treatment of neovascular glaucoma
-
摘要: 目的：观察复合式小梁切除术治疗新生血管性青光眼的临床疗效。方法：对13例(14眼)新生血管性青光眼患者采用复合式小梁切除术治疗，观察术后前房、眼压、视力的变化，以及并发症发生情况。结果：14眼新生血管性青光眼未发生持续性浅前房。术后并发症主要有前房炎症反应、前房出血、角膜水肿等，治疗后均吸收。术后眼压10～24 mmHg，视力提高2例，其余无变化。结论：复合式小梁切除术是治疗新生血管性青光眼安全、有效、经济的手术方法。Abstract: Objective:To investigate the efficacy of compound trabeculectomy in treatment of neovascular glaucoma. Methods:Thirteen cases(14 eyes) of neovascular glaucoma were treated by compound trabeculectomy.The anterior chamber depth,intraocular pressure,visual acuity and the complications were observed after operation.All the cases were followed up for 3 to 12 months. Results:No persistent shallow anterior chamber was observed.And postoperative complications including anterior chamber inflammation,hyphema and cornea disappeared after treatment.Postoperative intraocular pressure of the 14 cases was controlled between 10 and 24 mmHg.The visual acuity of 2 cases improved,and the others had no change. Conclusions:The compound trabeculectomy is safe,effective and economic in treatment of neovascular glaucoma.
-
-
[1] [2] 韩金栋,颜华.血管内皮生长因子与新生血管性青光眼[J].眼外伤职业眼病杂志,2004,26(11):789-791. [1] 焦建玲,温日霞.复合式小梁切除术的临床观察[J].眼科新进展,2003,23(3):217. [2] [3] 王玲,王大博,潘晓晶.睫状体及周边视网膜冷凝治疗新生血管性青光眼[J].齐鲁医学杂志,2011,26(3):251-252. [3] [4] 赵琪,王慧珠.Ahmed青光眼引流阀植入治疗新生血管性青光眼[J].国际眼科杂志,2011,11(1):130-132. [4] [5] 彭广华.现代眼科治疗学[M].广州:广东科技出版社,2001:245. [5] [6] 施玉英.同仁眼科手术笔记[M].北京:中国科学技术出版社,2004:48. [6] [7] 周文炳.临床青光眼[M].北京:人民卫生出版社,2000:413. [7] [8] 彭爱民,周辉,汪昌运.小梁切除巩膜瓣可调整缝线的疗效观察[J].眼外伤职业眼病杂志,2004,26(11):746.
计量
- 文章访问数: 3270
- HTML全文浏览量: 354
- PDF下载量: 367
下载:
