羊膜填充在小梁切除术中治疗难治性青光眼的临床观察

Clinical effect of Amniotic membrane filling trabeculectomy for refractory glaucoma

目的探讨在小梁切除术中应用羊膜填充治疗难治性青光眼的临床疗效。方法临床收治的12例(12眼)难治性青光眼患者,在施行小梁切除术中联合巩膜瓣下生物羊膜填充术,术后观察其视力、前房、滤过泡和眼压等情况。结果术后眼压稳定,视力无明显变化,功能性滤过泡形成良好,并发症仅为早期浅前房和低眼压。结论羊膜填充应用于难治性青光眼小梁切除术中可有效地防止滤过泡的瘢痕组织形成,并发症少,是治疗难治性青光眼安全、有效的手术方法。

Objective To explore the application of amniotie membrane in trabeculectomy for refractory glaucoma fill the clinical efficacy. Methods Clinical treated 12 patients （12 eyes） with refractory glaucoma, trabeeuleetomy in the implementation of the joint filled amniotie membrane under the seleral flap surgery, postoperative visual acuity was observed, the anterior chamber, filtering bleb and intraoeular pressure （IOP）, etc. Results IOP and stability, no significant changes in visual acuity, functional blebs form a good, early complications, only shallow anterior chamber and hypotony. Conclusion The amniotie membrane filling used in refractory glaucoma trabeculectomy bleb can be effective in preventing the formation of scar tissue with few complications, the treatment of refractory glaucoma safe and effective surgical method.