CAJ | 학술논문

目的观察小梁切除手术联合丝裂霉素治疗外伤继发性青光眼的临床效果.方法对19例(19眼)外伤继发性青光眼应用小梁切除术治疗,术中联合应用丝裂霉素.术后随访眼压、滤泡形态,视力,以及手术并发症.结果术后眼压均低于术前,滤泡在术后3～7 d形成,形态良好.视力较术前有不同程度改善.并发症包括前房积血、浅前房,未现现严重的并发症.结论小梁切除术联合丝裂霉素治疗外伤继发性青光眼是一种安全、有效的治疗方法,在药物治疗无法控制眼压时,可以考虑应用该方法治疗.
목적 관찰소량절제수술연합사렬매소치료외상계발성청광안적림상효과.방법 대19례(19안)외상계발성청광안응용소량절제술치료,술중연합응용사렬매소.술후수방안압、려포형태,시력,이급수술병발증.결과 술후안압균저우술전,려포재술후3～7 d형성,형태량호.시력교술전유불동정도개선.병발증포괄전방적혈、천전방,미현현엄중적병발증.결론 소량절제술연합사렬매소치료외상계발성청광안시일충안전、유효적치료방법,재약물치료무법공제안압시,가이고필응용해방법치료.
Objective To observe the clinical effect of trabeculectomy combined with mitomycin C for treating traumatic glaucoma.Methods 19 patients(19 eyes) with trauma-induced glaucoma received trabeculectomy combined with mitomycin C application.Postoperative intraocular pressure(IOP),conditions of filtering bleb,visual acuity and postoperative complications were followed up for 6 months.Results Postoperative IOP was lower than preoperative IOP(P<0.01).Filtering bleb formed 3-7 days after surgery.The main complications were hyphema and shallow anterior chamber.There were no severe complications.Conclusion Trabeculectomy combined with mitomycin C is a safe and effective method in treating traumainduced secondary glaucoma.The above method can be used once the lOP could not be controlled by medication.