小梁切开术治疗先天性青光眼的临床观察

A clinical observation of trabeculotomy on the treatment of inborn glaucoma

目的 :观察小梁切开术治疗先天性青光眼的疗效。 方法 :先天性青光眼 30例 ( 6 0只眼 )分为两组。A组小梁切开术 15例 ( 30只眼 ) ;B组小梁切开联合小梁切除术 15例 ( 30只眼 ) ,分别观察术后眼压、并发症 ,随访时间多于 6个月。 结果 :两组术后眼压比较 ,经统计学处理无显著性差异。前房积血平均吸收的天数 A组小于 B组 ( P<0 .0 5 )。 结论 :采用小梁切开术创伤小 ,并发症少 ,优于联合手术。

Objectives:To investigate the therapeutic effects of trabeculotomy on inborn glaucoma. Methods: Thirty inborn glaucoma cases (60 eyes) were divided into two groups:A and B. Group A received trabeculotomy; Group B received trabeculotomy combined with trabeculectomy. After the operations, intraocular pressure (IOP) and complications were recorded, followup period was more than 6 months. Results:There was no statistical difference in IOP between the two groups after the operation. The average time of hyphema absorption for group A was shorter than group B patients (P<0.05). Conclusions:Trabeculotomy is more effective than trabeculotomy combined with trabeculectomy in the treatment of inborn glaucoma.