睫状体冷凝联合全结膜瓣遮盖术治疗并发角膜溃疡的绝对期青光眼

Cyclocryotherapy combined with entire conjunctival flap covering operation for treatment of absolute glaucoma complicated corneal ulcer

目的探讨睫状体冷凝联合全结膜瓣遮盖术治疗并发角膜溃疡的绝对期青光眼的临床疗效。方法并发角膜溃疡的绝对期青光眼18例（18眼）施行睫状体冷凝联合全结膜瓣遮盖术。术后观察眼部症状，角膜、结膜愈合情况及眼压等。结果随访平均（9．4±1．9）个月。所有患眼球结膜瓣与角膜牢固贴附。术后2d眼压开始下降，而后呈逐渐下降的趋势，至术后1个月时基本稳定。结论在严格病例选择的基础上，睫状体冷凝联合全结膜瓣遮盖术治疗并发角膜溃疡的绝对期青光眼的初步效果良好。

Objective To explore the clinical effect of cycloeryothcrapy combined with entire conjunctival flap covering operation for treatment of absolute glaucoma complicated corneal ulcer. Methods 18 cases （18 eyes） with absolute glaucoma complieatcd corneal ulcer had been performed cyclocryotherapy combined with entire conjunctival flap covering operation. The eye symptoms, cornealconjunctival healing and intraoeular pressure （IOP） were observed. Results All patients were followed up for 9.4 ±1.9 months. The bulbar conjunctiva flap and cornea were attached and blend firmly. Postoperative IOP showed a gradual downward trend and it was stable in 1 month after operation. Conclusions On the basis of the indication selected strictly, cyeloeryotherapy combined with entire conjunctival flap covering operation for treatment ofabsolute glaucoma complicated corneal ulcer is effectiv.