摘要
目的观察青光眼滤过术的疗效。方法对 5 0例 (60眼 )不同类型青光眼患者采用小梁切除术联合术中前房预置穿刺、使用丝裂霉素、巩膜瓣及结膜牢固缝合、术毕形成前房的治疗方法 ;术后随访 1年。结果术后 5 4眼眼压 <2 1mmHg,6眼需用降眼压药将眼压控制在 3 0mmHg以下 ;仅有 2眼术后视力低于术前 ,其余均达到或超过术前视力 ;2眼发生结膜瓣创漏 ,2眼发生脉络膜脱离 ,经处理后恢复。结论青光眼滤过术可减少术后常见并发症 。
ObjectiveTo investigate the effect of filtering surgery on glaucoma.Methods50 glaucoma cases (60 eyes) were underwent trabeculectomy, including paracentesis in advance, suturing of sclera flap and conjunctiva flap, using mitomycin (MMC) and forming anterior chamber as soon as finished operation. All cases were followed up 1 year.ResultsPostoperative IOP was lower than 21 mmHg in 54 eyes, 6 eyes were <30 mmHg when treated with drugs. After operation, there were only 2 eyes had lower vision, the others had higher vision. Two eyes had conjunctiva filtering, two eyes had choroidal separation, but they recovered after non surgical therapy.ConclusionFiltering surgery can decrease common complications, increase vision of early stage, and make IOP recovered to normal.
出处
《中国康复理论与实践》
CSCD
2004年第8期502-503,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
青光眼
滤过术
并发症
治疗
glaucoma
filtering surgery
complication
treatment
