中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
8期
816-818
,共3页
新生血管性青光眼%激光凝固术%玻璃体切割术%睫状体%视网膜
新生血管性青光眼%激光凝固術%玻璃體切割術%睫狀體%視網膜
신생혈관성청광안%격광응고술%파리체절할술%첩상체%시망막
Neovascular glaucoma%Ciliary body%Retina%Laser coagulation%Vitrectomy
目的 分析玻璃体切割术联合睫状突视网膜光凝治疗晚期新生血管性青光眼的疗效.方法 新生血管性青光眼15例(16只眼),行玻璃体切割术、全视网膜光凝术和睫状突光凝术,合并的白内障同时行超声乳化吸除.术后随访(12～18)月,观察手术前后视力、眼压改变和并发症等.结果 术后16只眼中 9只眼视力不同程度提高.术前眼压为(30.1～65.2)mm Hg(1mm Hg=0.133 kPa),平均(45.9±8.4)mmHg;术后1月眼压为(8.4～31.4)mmHg,平均(20.7±5.9)mmHg;术后6月、术后12月眼压分别为(10.4～28.1)mm Hg,平均(18.9±4.2)mm Hg、(9.7～26.4)mm Hg,平均(17.7±3.9)mmHg,术后1月、6月、12月眼压与术前眼压的差异均具有统计学意义(P＜0.01).术后虹膜新生血管大部消退.无严重并发症.结论 玻璃体切割术联合睫状突视网膜光凝治疗术能有效治疗晚期新生血管性青光眼.
目的 分析玻璃體切割術聯閤睫狀突視網膜光凝治療晚期新生血管性青光眼的療效.方法 新生血管性青光眼15例(16隻眼),行玻璃體切割術、全視網膜光凝術和睫狀突光凝術,閤併的白內障同時行超聲乳化吸除.術後隨訪(12～18)月,觀察手術前後視力、眼壓改變和併髮癥等.結果 術後16隻眼中 9隻眼視力不同程度提高.術前眼壓為(30.1～65.2)mm Hg(1mm Hg=0.133 kPa),平均(45.9±8.4)mmHg;術後1月眼壓為(8.4～31.4)mmHg,平均(20.7±5.9)mmHg;術後6月、術後12月眼壓分彆為(10.4～28.1)mm Hg,平均(18.9±4.2)mm Hg、(9.7～26.4)mm Hg,平均(17.7±3.9)mmHg,術後1月、6月、12月眼壓與術前眼壓的差異均具有統計學意義(P＜0.01).術後虹膜新生血管大部消退.無嚴重併髮癥.結論 玻璃體切割術聯閤睫狀突視網膜光凝治療術能有效治療晚期新生血管性青光眼.
목적 분석파리체절할술연합첩상돌시망막광응치료만기신생혈관성청광안적료효.방법 신생혈관성청광안15례(16지안),행파리체절할술、전시망막광응술화첩상돌광응술,합병적백내장동시행초성유화흡제.술후수방(12～18)월,관찰수술전후시력、안압개변화병발증등.결과 술후16지안중 9지안시력불동정도제고.술전안압위(30.1～65.2)mm Hg(1mm Hg=0.133 kPa),평균(45.9±8.4)mmHg;술후1월안압위(8.4～31.4)mmHg,평균(20.7±5.9)mmHg;술후6월、술후12월안압분별위(10.4～28.1)mm Hg,평균(18.9±4.2)mm Hg、(9.7～26.4)mm Hg,평균(17.7±3.9)mmHg,술후1월、6월、12월안압여술전안압적차이균구유통계학의의(P＜0.01).술후홍막신생혈관대부소퇴.무엄중병발증.결론 파리체절할술연합첩상돌시망막광응치료술능유효치료만기신생혈관성청광안.
Objective To evaluate the efficacy of vitrectomy combined with cyclophotocoagulation and pan retinal photocoagulation in management of neovascular glaucoma retrospectively. Methods Vitrectomy combined with cyclophotocoagulation and pan retinal photocoagulation were performed on 15 cases (16 eyes) with neovascular glaucoma. All patients were followed up from 12 to 18 months. The change of intraocular pressure (IOP), visual acuity, complications were observed. Results The visual acuity of 9 eyes was improved post-operation. Compared to pre-operation. the mean of IOP was significantly decreased at l month, 6 months, and 12 months post-operation (P ＜0.01). No serious complications occurred. Conclusions Vitrectomy combined with cyclophotocoagulation and pan retinal .photocoagulation can manage neovascular glaucoma effectively.
