郁佳, 陶黎明, 王剑锋, 王爱莲. 持续高眼压状态下的青光眼手术治疗[J]. 蚌埠医学院学报, 2007, 32(4): 408-410.
    引用本文: 郁佳, 陶黎明, 王剑锋, 王爱莲. 持续高眼压状态下的青光眼手术治疗[J]. 蚌埠医学院学报, 2007, 32(4): 408-410.
    YU Jia, TAO Li-ming, WANG Jian-feng, WANG Ai-lian. Glaucoma surgery in persistent high intraocular pressure[J]. Journal of Bengbu Medical College, 2007, 32(4): 408-410.
    Citation: YU Jia, TAO Li-ming, WANG Jian-feng, WANG Ai-lian. Glaucoma surgery in persistent high intraocular pressure[J]. Journal of Bengbu Medical College, 2007, 32(4): 408-410.

    持续高眼压状态下的青光眼手术治疗

    Glaucoma surgery in persistent high intraocular pressure

    • 摘要: 目的: 探讨持续性高眼压状态下的青光眼行小梁切除术的安全性及临床治疗效果。方法: 对21例24眼持续高眼压的青光眼行小梁切除术,术后观察滤过泡、前房、眼压、视力及并发症。结果: 24眼手术顺利。术后随访2~15个月,眼压控制≤ 21mmHg20眼,局部用药可控制2眼;术后视力提高13眼,术后视力不变6眼。结论: 对持续高眼压状态的青光眼应积极行小梁切除术。只要手术前后处理得当,可以取得满意疗效。

       

      Abstract: Objective: To evaluate the efficacy and safety of trabeculectomy for glaucoma in high intraocular pressure.Methods: Surgery was performed on 21 patients (24 eyes) with uncontrolled intraocular pressure with drug.Visual acuity, filtering bled, anterior chamber, intraocular pressure (IOP) and complications were observed after operation.Results: All of the 24 eyes underwent surgery successfully.All patients were followed up for 2-15 months.The IOP of 20 eyes were lower than 21 mmHg without any anti-glaucoma drug after the operation.After using part medicine IOP of 2 eyes were controlled.The visual acuity improved in 13 eyes (54.17%), visual acuity remained unchanged in 6 eyes (24%).Conclusions: To keep the vision function, trabeculectomy should be performed for glaucoma patients with persistent high intraocular pressure actively.It is safe and it can obtain satisfactory clinical effect with suitable management.

       

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