前部视网膜冷凝联合复合式小梁切除治疗新生血管性青光眼

Treatment of neovascular glaucoma by anterior retinal cryocoagulation and combined trabeculectomy

目的观察前部视网膜冷凝联合丝裂霉素C浸润小梁切除术治疗新生血管性青光眼的临床效果。方法采用前部视网膜冷凝联合丝裂霉素C浸润小梁切除术治疗新生血管性青光眼37例（37眼），以降低眼压，解除症状。术后随访4～12个月。结果30眼1次手术眼压控制，4眼2次手术眼压控制（第2次手术为睫状体冷凝术），13眼视力不同程度提高，1眼术后长期观察眼压高且症状不能缓解行眼球摘除术。结论对于晚期新生血管性青光眼采用本术式可以有效控制眼压，保留残余视力。

Objective To investigate the efficacy of panretinal cryocoagulation and combined with mitomycin C infiltrate and trabeculectomy in the treatment of neovascular glaucoma. Methods 37 cases（37eyes） of neovascular glaucoma caused by different diseases were treated with panretinal cryocoagulation and combined with mitomycin C infiltrate and trabeculectomy in order that their in- traocular pressures（IOP） were reduced and symptoms were relieved after operation,37 cases were followed up period of 4 - 12 months averaging 9 months. Results IOP in 30 cases were controlled within nomal limits postoperatively 13 eyes got their visual acuity improvde, the 10P of 4 eyes were controlled after the second operation（ the second operation is ciliary body cryocoagulation） , 1 eye was operated with opthalmectomy because the IOP was high and the symptoms weren＇t relieved after long following up. Conclusion Panretinal cryocoagulation and combined trabeculectomy can effectively control the IOP, save the visual function, demand less facilities and cheaper cost. It is a good ehoise to treat neovascular glaucoma for basic level hospital.