睫状体冷冻联合小梁切除治疗晚期新生血管性青光眼

Effect of cyclocryotherapy and trabeculectomy for the treatment of late neovascular glaucoma

目的:分析睫状体冷冻联合小梁切除治疗晚期新生血管性青光眼疗效。方法:晚期新生血管性青光眼37例37眼,行睫状体冷冻联合小梁切除术,术后随访12mo,观察术后眼压、前房反应及疼痛程度和并发症等。结果:术前平均眼压52.34mmHg,术后1,3d;1wk;1,3,12mo平均眼压分别为17.30±9.35,17.98±7.69,17.38±5.31,17.22±3.82,16.45±4.82,16.76±4.52mmHg,与手术前平均眼压比较,差异均有统计学意义(P<0.05)。术后前房反应较轻,疼痛缓解明显,无严重并发症。结论:睫状体冷冻联合小梁切除术能有效治疗晚期新生血管性青光眼。

AIM：To evaluate the efficacy of cyclocryotherapy and trabeculectomy for the treatment of late neovascular glaucoma.METHODS：Cyclocryotherapy and trabeculectomy were performed on 37 cases（37 eyes） with late neovascular glaucoma.All patients were followed up for 12 months.The intraocular pressure（IOP）,anterior chamber reaction,pain intensity,and complications were observed.RESULTS：：Compared with preoperation,the mean IOP was significantly decreased at 1 day,3 days,1 week,1 month,3 and 12 months postoperation（P0.05）.The postoperative anterior chamber reaction was mild,pain was relieved,and no serious complications.CONCLUSION：Cyclocryotherapy and trabeculectomy can effectively manage late neovascular glaucoma.