四联手术治疗新生血管性青光眼

Four joint surgery in the treatment of neovascular glaucoma

目的:评价小梁切除术+丝裂霉素C(mitomycin C,MMC)联合玻璃体腔注射曲安奈德(triamcinolone acetonide,TA)睫状体冷冻术治疗新生血管性青光眼(neovascular glaucoma,NVG)的效果。方法:对16例16眼NVG行小梁切除术+MMC,玻璃体腔注射TA混悬液4mg/0.1mL,睫状体冷冻180°范围4～6个点,每点冷冻时间60s。结果:眼压控制正常者14眼(88%),其余2眼眼压仍高出正常范围,但眼痛症状明显缓解。虹膜新生血管大部分消退14眼,部分消退2眼,无眼球萎缩病例。结论:小梁切除术+MMC联合玻璃体腔注射TA睫状体冷冻术是治疗NVG一种有效方法。

AIM：To evaluate effects of trabeculectomy with mitomycin C （MMC）, intravitreous injection of triamcinolone acetonide （ TA） and cyclocryotherapy in patients with neovascular glaucoma（NVG）.METHODS： Trabeculectomy with MMC was performed on 16 eyes of 16 patients with NVG. Intravitreous injection of TA（4mg/0.1mL）, cyclocryotherapy at 4 to 6 points about half circle of the eye. Each point was frozen for 60 seconds.RESULTS： The postoperative normal IOP was in 14 eyes （88%） and the IOP above 21mmHg was in 2 eyes. The stimulative symptoms were reduced or relieved and iris new vessels were reduced. There was no atrophy of eyeball in all patients.CONCLUSION： Trabeculectomy with MMC, intravitreous injection of TA and cyclocryotherapy is an effective method for patients with NVG.