巩膜隧道加非缝合巩膜瓣滤过手术治疗急性闭角型青光眼的方法探讨

Scleral tunnel and non suture scleral flag filtration surgery in treating acute angle-closure glaucoma

目的:探讨巩膜隧道加非缝合巩膜瓣的滤过手术治疗急性闭角型青光眼的临床效果。方法:回顾性分析2004-01/2007-12收治于我院的46例46眼急性闭角型青光眼患者临床资料,比较手术前后视力、眼压、视野、并发症等。结果:所收46例患者均顺利完成手术,术后随访4～8(平均5.21±4.12)mo,术后1mo平均眼压15.3±4.87mmHg,术后5mo平均眼压16.8±4.77mmHg,经统计学处理,手术前后眼压有统计学差异(P<0.01)。术后1wk前房稳定,8例有较轻的葡萄膜炎反应,术后5mo视力较术前无下降,视野复查未见明显改变。结论:巩膜隧道加非缝合巩膜瓣的滤过手术治疗急性闭角型青光眼可以有效降低眼压,手术并发症少,是一种有效的滤过手术方式。

AIM：To study the clinical effects of scleral tunnel and non suture scleral filtration surgery in treating acute angle-closure glaucoma（AACG）.·METHODS：This retrospective study included the clinical data of 46 cases（46 eyes） AACG patients,who were in our hospital from January 2004 to December 2007.We compared the visual acuity（VA）,intraocular pressure（IOP）,visual field and complications before and after surgery.·RESULTS：Surgeriyes were smoothly operated on 46 cases,they were followed up for 4-8 months after surgery,the mean IOP was 15.3±4.87mmHg and 16.8±4.77mmHg 1 and 5 months respectively after sugery.There were statistical differences before and after surgery（P〈0.01）.One week after surgery,the anterior chamber was stable,8 cases had mild uveitis and the VA was not decreased compared with pre-operation,the visual field was reexamined without obvious changes.·CONCLUSION：Scleral tunnel and non suture scleral flag filtration surgery,which can effectively decrease IOP in treating AACG and with less complication,is an effective filtration surgery methods.