非穿透小梁切除羊膜植入术治疗开角型青光眼(英文)

Nonpenetrating trabeculectomy with implantation of amniotic membrane for the treatment of open-angle glaucoma

目的:观察非穿透小梁切除加羊膜植入术治疗开角型青光眼的效果。方法:原发性开角型青光眼66例87眼随机配对分为3组,分别采用非穿透小梁切除加羊膜植入术(22例29眼);复合式小梁切除术(22例29眼)及非穿透小梁切除加透明质酸钠膜植入术(22例29眼)。结果:非穿透小梁切除加羊膜植入术组与其它2组相比,术后视力恢复较好(P<0.01)、眼压控制满意(P<0.01)、并发症较少(P<0.01)。结论:非穿透小梁切除加羊膜植入术是治疗开角型青光眼的有效方法。

AIM： To observe the effect of nonpenetrating trabeculectomy with implantation of amniotic membrane on the treatment of open-angle glaucoma. METHODS： Sixty-six cases （87 eyes） were randomly paired into 3 groups, treated with nonpenetrating trabeculectomy with implantation of amniotic membrane （22 cases, 29 eyes）,compound trabeculectomy （22 cases, 29 eyes） and nonpenetrating trabeculectomy with implantation of SKGel （22 cases, 29 eyes）, respectively. RESULTS： Compared with the other 2 groups, the group of nonpenetrating trabeculectomy with implantation of amniotic membrane got a better postoperative visual acuity （P〈0.01）,satisfactively-controlled intraocular pressure （IOP） （P〈0.01）and fewer complications （P〈0.01）. CONCLUSION： Nonpenetrating trabeculectomy with implantation of amniotic membrane is an effective method for the treatment of open-angle glaucoma.