小梁切除术治疗Fuchs虹膜异色性葡萄膜炎继发性青光眼的远期疗效

Long term effects of trabeculectomy on Fuchs heterochromic uveitis with secondary glaucoma

评价小梁切除术治疗 FHU继发性青光眼的远期疗效。方法 :回顾性调查于 1 994年 4月～ 1 999年 4月因 FHU继发性青光眼在我院住院行小梁切除术共 2 8例 ( 33眼 )中 ,追踪到的 1 2例患者 1 3眼 ,平均随访 31 .0 8个月。结果 :矫正视力手术前、后相比无显著性差异 ( P>0 .0 5 ) ,矫正视力进步 5眼 ( 38.46 % ) ,不变 8眼 ( 6 1 .5 4% )。手术前、后眼压具有显著性差异 ( P<0 .0 0 5 ) ,术后合并或不合并药物治疗眼压获得控制 1 2眼 ( 92 .31 % ) ,1眼 ( 7.6 9% )不能控制需再次手术治疗。KP复发频率手术前、后无显著性差异 ( P<0 .0 5 )。视野进步 7眼 ( 5 8.33% ) ,无变化 2眼 ( 1 6 .6 7% ) ,恶化 3眼 ( 2 5 % )。术中、术后无严重并发症。结论 :小梁切除术治疗

To investigate the long term effects of trabeculectomy on FHU with secondary glaucoma.Methods:12 cases(13 eyes)FHU with secondary glaucoma were performed with trabeculectomy,with a postoperative follow up 8～61 months(mean,31 08±21 27months).Results:Visual acuity 38 46% was better than preoperation,46 15% unchanged and 15 38% worse.IOP 92 31% was successfully controlled.Better,unchanged and worse visual field was 58 33%,16 67% and 25%,respectively.The frequency of KP recurrent was unchanged compared with preoperation.Conclusion:Trabeculectomy is safe and effective on FHU with secondary glaucoma.