复合式改良垂直小梁切除深层巩膜反转引流治疗青光眼

Compound modification vertical tr-abeculectomy and deep sclerectomy resupination drainage for treatment with glaucoma

目的 探讨复合式改良垂直小梁切除深层巩膜反转引流治疗青光眼的临床疗效。方法 对28例34眼青光眼患者采用复合式改良垂直小梁切除深层巩膜反转引流手术,术后随访降压效果及并发症3～16个月。结果 术前平均眼压为(27.7±8.3)mmHg(1kPa=7.5mmHg),术后随访最终平均眼压(15.1±3.6)mmHg。无1例发生前房延缓形成。结论 复合式改良垂直小梁切除深层巩膜反转引流术可有效地控制眼压,减少并发症,提高一次手术成功率。

Objective To investigate the effects of treating glaucoma with compound modification vertical trabeculectomy and deep sclerectomy resupination drainage. Methods Compound modification vertical trabeculectomy and deep sclerectomy resupination drainage was performed in 28 cases (34 eyes) with glaucoma. The effects decreasing the intraocular pressure and complications were observed in follow-up 3 - 16 months after operation. Results The preoperative intraocular pressure was averaged (27. 7 + 8. 3)mmHg(1kPa= 7.5mmHg), at the end of follow up, the intraocular pressure was averaged (15. 1 + 3. 6)mmHg. Shallow anterior chamber was not occurred in all cases. Conclusion Compound modification vertical trabeculectomy and deep sclerectomy resupination drainage can control the intraocular pressure , reduce complications and improve the successful rate of the first surgery.