改良小梁切除联合巩膜层间引流池成形治疗AACG疗效观察

Curative effect observation on modified trabeculectomy combined with interscleral drainage pond forming for acute angle-closure glaucoma

目的:探讨改良小梁切除联合巩膜层间引流池成形治疗60岁以上急性闭角型青光眼(acute angle-closure glaucoma,AACG)的临床疗效。方法:对73例73眼60岁以上AACG患者施行改良小梁切除联合巩膜层间引流池成形,术后观察其前房深浅、眼压高低和滤过泡形态等情况。结果:术后眼压控制理想,术后3～36mo,眼压平均12.5±4.8mmHg,显著低于手术前。术后75%(55/73)患眼视力提高。滤过泡96%(70/73)为Ⅰ,Ⅱ型功能性滤过泡。并发症主要为部分患眼(18%,13/73)早期浅前房和低眼压。结论:改良小梁切除联合巩膜层间引流池成形对治疗60岁以上AACG是一种很有效的治疗方法。

AIM：To evaluate the clinical curative effect of modified trabeculectomy combined with interscleral drainage pond forming for the treatment of over 60 years old patients with acute angle-closure glaucoma（AACG）. METHODS：A total of 73 patients 73 eyes aged over 60 of AACG underwent modified trabeculectomy combined with interscleral drainage pond forming. Anterior chamber depth, intraocular pressure, bleb shape and so on were observed after operation. RESULTS：About 3 to 36 months after surgery mean IOP was 12.5±4.8mmHg, significantly lower than that before surgery. Postoperative 75% （55/73） affected eyes had visual acuity improved. 96% （70/73）blebs were type Ⅰ, Ⅱ functional filtering bleb. Main complications were early shallow anterior chamber and hypotony in（18%, 13/73） affected eyes. CONCLUSION：Modified trabeculectomy combined with interscleral drainage pond forming is an effective way for the treatment of over 60 years old patients with AACG.