聚丙烯筏状引流物植入联合小梁切除术治疗难治性青光眼

Raft-shaped polypropylene implantation surgery combined with trebeculectomy in the treatment of refractory glaucoma

目的:探讨难治性青光眼治疗的有效方法。方法:对34例46眼难治性青光眼进行聚丙烯筏状引流物植入联合小梁切除术。术后随访时间平均为11.58个月(2～21个月)。结果:46眼术前眼压平均5.62±0.31kPa,术后眼压平均2.16±0.37kPa,p<0.01,总眼压有效控制率为80.43%。术后主要并发症有浅前房、前房出血、持续性低眼压。结论:本术式植入物稳定、经济、手术成功率高,可以推广应用。

Purpose:To research the effective management in refractory glaucoma.Methods:34 patients(46 eyes)suffering from refractory glaucoma were treated in the way of raft-shaped polypropylene implantation surgery combined with trebeculectomy.The average followed-up period was 11.58 ranging from 2 to 21 months.Results:The mean IOP preoperative was 5.62±0.31kPa,and that postoperative was 2.16±0.37kPa,p&lt;0.01.The effective control rate of total IOP was 80.43%.The commonly postoperative complications were shallow anterior chamber,hyphema and continuing hypotony.Conclusions:Polypropylene implantation was steady and economical.The successful rate of the operation was high and it was worth advancing and using.