Sturge—Weber综合征继发青光眼的手术治疗

Glaucoma filtering surgery in patients with SWS and secondary glaucoma

目的总结Sturge—Weber（SWS）N发青光眼的手术治疗效果。方法选自1999年11月至2005年12月连续6例10只眼SWS病例，对其进行手术治疗。观察手术近期及远期的眼压控制结果及并发症发生情况。结果术前眼压25．81～50．62mmHg，平均34．3mmHg。术后近期眼压14．57～30．82mmHg，平均22．22mmHg，远期1例失访外眼压全部控制正常。眼底视盘没有进行性改变。没有术中术后并发症发生。结论对SWS病例严格掌握手术适应证，术前充分控制眼压，术中精细操作，仍可获得较高的手术成功率。

Objective To evaluate the efficacy and complications of anti-glaucoma surgery in childhood with Sturge Weber syndrome （SWS） and secondary glaucoma. Methods We have performed glaucoma filtering surgery in 6 patients （ 10 eyes） with SWS and secondary glaucoma. Results The mean intraocular pressure （IOP） was 34.3mmHg （25.81-50.62 mmHg） preoperatively. After surgery, the mean IOP in all cases was 22.22mmHg （ 14.75-30.82 mmHg） and in the end of follow-up,IOP of 5 patients were controlled to normal. We have not observed any intraoperative or postoperative complications. Conelusion The better safety and efficacy of glaucoma filtering surgery could be obtained in patients with SWS.