巩膜瓣可调整缝线预防青光眼术后浅前房效果观察

Trabeculectomy with adjustable suture is useful for avoiding for shallow anterior chamber

目的观察可调整缝线在青光眼小梁切除术中的疗效。方法88例(100眼)青光眼患者按就诊单双号随机分为常规组(47眼)和调整缝线组(53眼),常规组行常规小梁切除术,调整缝线组行可调整缝线小梁切除术,比较两组术后眼压、前房情况。结果调整缝线组术后浅前房3眼(5.6%),常规组术后浅前房16眼(34%),差异有显著性意义(P<0.01);两组术后眼压较术前均明显下降(P<0.01),但两组间差异无显著性意义(P>0.05)。结论青光眼行可调整缝线小梁切除术可使术后前房迅速形成,减少浅前房发生率,形成功能性滤过泡,从而提高青光眼手术的成功率。

Objective To observe the effect of scleral flap adjustable suture on avoiding shallow anterior chamber in a trabeculectomy. Methods 100 eyes of glaucoma were divided into 2 groups. Routine trabeculectomy was performed on 43 eyes of the routine group. The trabeculectomy combining with adjustable suture was performed on 57 eyes of the adjustable suture group. Results Shallow anterior chamber appeared on 16 eyes of the rou-tine group （ 34% ） and 6 eyes of adjustable suture group （5.6%）after operation（ P 〈 0. 01） ,the intraocular pressure of the two teams has no obvious difference （P 〉 0. 05）. Conclusions Trabeculectomy with adjustable suture is useful for controlling intraocular pressure and avoiding from shallow anterior chamber,and can improve the success rate of operation.