外路小梁切开术治疗先天性青光眼远期疗效分析

Investigation into long-term effect of extra-trabeculotomy on congenital glaucoma

目的评价先天性青光眼外路小梁切开术后的远期疗效。方法对近２５年间，在同一医院接受外路小梁切开术的先天性青光眼进行回顾性疗效调查。共２９例４９眼。术后平均随访时间９２个月，调查内容包括受检者的眼压、角膜直径等。结果其中的４５眼（９１．８４％）调查时眼压＜２１ ｍｍＨｇ，平均眼压为（１６．８４ １４．１１）ｍｍＨｇ。无严重并发症发生。结论表明该组外路小梁切开术治疗先天性青光眼获得满意的远期效果，有效地控制了先天性青光眼的发展。

Objective To evaluate the long term effect of extra-trabeculotomy on congenital glaucoma. Methods The curative effect in 49 eyes of 29 cases with congenital glaucoma,which underwent extra-trabeculotomy in the same hospital in the last 25 years , were retrospectively studied. The average time of post-operation was 92 months. The intraocular pressure and comeal diameter were recorded. Results The final intraocular pressure in 45 of 49 eyes (91. 84% ) was less than 21 mmHg. The mean postoperative IOP was (16. 84 ± 4. 11 ) mmHg. No serious complications occurred. ConclusionThis study showed that treating congenital glaucoma by extra-trabeculotomy can control its progresson and attain a long-term satisfactory effectiveness.