双眼小梁切除术后包裹囊状泡的探讨

Tenon′s capsule cysts after trabeculectomies in both eyes

目的 :探讨双眼小梁切除术后对包裹囊状泡的影响。方法 :98例行双眼小梁切除术患者 ,经 6～ 64个月的随访 ,观察其术后并发症及相关危险因素。结果 :首眼行小梁切除术可增加另一眼小梁切除术后产生包裹囊状泡的危险性 ,其次是术前激光虹膜周切术。结论 :双眼小梁切除术有相似的术后并发症 ,首次眼小梁切除术失败可成为另一眼手术中应用抗代谢药物的一个因素。

Objective:To investigate the effect on Tenon′s Capsule cysts after trabeculectomies in both eyes. Methods:Trabeculectomies were performed in both eyes of 98 patients.The follow-up varied from 6 to 45 months.The complications after surgery and the risk factors were recorded. Results:The rate of Tenon′s capsule cysts in the fellow eyes was significantly higher than that in the first eyes.Previous argon laser trabeculoplasty had a greater risk of Tenon′s capsule cyst formation.No statistical difference was found in other complications. Conclusions:Both eyes have remarkably similar complications.Failures of surgery on the first eye may be a signal to use antimetabolities in trabeculectomy on the fellow eye.