复合式小梁切除术治疗硅油填充术后继发性青光眼

Complex trabeculectomy in treatment of secondary glaucoma after silicone oil filling

目的:探讨复合式小梁切除术对硅油填充术后继发性青光眼的治疗效果。方法:回顾性分析2003-10/2008-12我院采用复合式小梁切除术,治疗硅油填充术后继发性青光眼11例11眼的手术效果。结果:患者术后达到功能性滤过泡标准比例极高。术前眼压平均为(52.3±11.5)mmHg,术后平均眼压为(15.4±8.3)mmHg。术后平均眼压较术前明显降低,经t检验具有显著性差异,术后视力较术前提高4眼(36%),与术前视力相同5眼(45%),较术前视力略下降2眼(18%)。结论:复合式小梁切除术可以有效治疗硅油填充术后继发性青光眼。

AIM： To evaluate the effects of complex trabeculectomy in treatment of secondary glaucoma after silicone oil filling. METHODS： Eleven cases 11 eyes with secondary glaucoma after silicone oil filling were treated with complex trabeculectomy since Oct. 2003 to Dec. 2008. Clinical observations were carried out on filtering bleb,intraocular pressure（IOP） and vision. RESULTS： High rate of functional filtering bleb formation was achieved after complex trabeculectomy. IOP was 52.3±11.5mmHg before operation and 15.4±83mmHg after operation,IOP was significantly dropped（P〈0.01）. 4 eyes （36%） had vision improved and 5 eyes （45%） had equal vision with preoperation, 2 eyes （18%） with vision decreased. CONCLUSION： Complex trabeculectomy can treat secondary glaucoma after silicone oil filling effectively.