CAJ | 학술논문

目的评价三联手术治疗伴虹膜新生血管的晚期青光眼手术特点、手术时机及效果.方法 36例(41眼)晚期青光眼合并虹膜新生血管采用虹膜热凝+虹膜切开+小梁切除术,观察视力、眼压、滤过泡、前房、虹膜新生血管、手术并发症和手术成功率.结果 36例(41眼)手术成功40眼(97.56％),术前有视力者术后视力均有提高,术后39眼虹膜血管新生消退,术后前房积血发生率7.31％,2～5d内吸收,无严重并发症发生.结论晚期青光眼合并虹膜新生血管实施局部虹膜热凝+虹膜切开+小梁切除术是一种安全有效的方法,晚期青光眼合并新生血管应积极采用手术治疗,以避免视功能的进一步损害.
목적 평개삼련수술치료반홍막신생혈관적만기청광안수술특점、수술시궤급효과.방법 36례(41안)만기청광안합병홍막신생혈관채용홍막열응+홍막절개+소량절제술,관찰시력、안압、려과포、전방、홍막신생혈관、수술병발증화수술성공솔.결과 36례(41안)수술성공40안(97.56％),술전유시력자술후시력균유제고,술후39안홍막혈관신생소퇴,술후전방적혈발생솔7.31％,2～5d내흡수,무엄중병발증발생.결론 만기청광안합병홍막신생혈관실시국부홍막열응+홍막절개+소량절제술시일충안전유효적방법,만기청광안합병신생혈관응적겁채용수술치료,이피면시공능적진일보손해.
Objective To evaluate the characteristics,timing of surgery and therapeutic effect of the treatment of advanced glaucoma with iris neovascularization.Methods 36 patients (41 eyes) of advanced glaucoma with iris neovascularization underwent iris heat coagulation,iridotomy and trabeculectomy.The visual acuity,intraocular pressure,bleb,anterior chamber,iris neovascularization,surgery complications and surgical success rate were observed.Results The triple surgery was successful in 40 eyes (97.56％).Those patients with preoperative visual function were improved in visual acuity.The iris neovascularization regressed in 39 eyes,The incidence of postoperative hyphema was 7.31％,which was absorbed in 2 to 5 days.No serious complication occurred.Conclusion Iris heat coagulation,iridotomy and trabeculectomy is safe and effective for treatment of advanced neovascular glaucoma with iris neovascularization.Surgical treatment should be actively used in order to avoid further damage of visual function.