巩膜咬切联合虹膜烧灼注水冷却止血术治疗新生血管性青光眼

Sclerotomy with iris cautery and affusion cooling hemostasis for neovascular glaucoma

目的寻找新生血管性青光眼的有效治疗途径。方法采用巩膜咬切联合虹膜烧灼注水冷却止血术治疗新生血管性青光眼8例(8眼)。结果治疗后虹膜表面新生血管萎缩消失、眼压降低、随访6～24mo,眼压稳定。结论通过采用术前预防出血措施及新生血管相对较少的虹膜区做周边烧灼注水冷却止血,使眼压降低,消除痛苦,保留眼球。结果表明该手术方法是一种有效的治疗措施。

AIM: To find an effective therapy for treating neovascular glaucoma.· METHODS: Eight cases (8 eyes) of neovascular glaucoma underwent sclerotomy combined with iris cautery and affusion cooling hemostasis.· RESULTS: During the follow-up of 6-24mo, neovascular on iris surface disappeared and intraocular tension decreased.· CONCLUSION: The method of sclerotomy combined with iris cautery and affusion cooling hemostasis can lower intraocular tension and retain eyeball, thus is an effective therapy for neovascular glaucoma.·