CAJ | 학술논문

目的探讨经巩膜睫状体光凝联合前房穿刺术治疗眼外伤玻璃体切除术后难治性青光眼的效果.方法回顾复杂性眼外伤玻璃体手术后难治性青光眼41例(41只眼),采用经巩膜睫状体光凝联合前房穿刺术治疗,术后随访3-12个月.结果 41只眼中,手术前眼压是(43.14±12.37)mmHg,术后最后一次随访眼压为(19.76±7.06)mmHg,手术后眼压明显下降,(t=6.5742,P＜0.001).5只眼视力略有提高,33只眼无变化,3只眼视力下降.术后1只眼眼球萎缩.结论经巩膜睫状体光凝联合前房穿刺术是治疗眼外伤玻璃体手术后难治性青光眼一种安全有效的方法.
목적 탐토경공막첩상체광응연합전방천자술치료안외상파리체절제술후난치성청광안적효과.방법 회고복잡성안외상파리체수술후난치성청광안41례(41지안),채용경공막첩상체광응연합전방천자술치료,술후수방3-12개월.결과 41지안중,수술전안압시(43.14±12.37)mmHg,술후최후일차수방안압위(19.76±7.06)mmHg,수술후안압명현하강,(t=6.5742,P＜0.001).5지안시력략유제고,33지안무변화,3지안시력하강.술후1지안안구위축.결론 경공막첩상체광응연합전방천자술시치료안외상파리체수술후난치성청광안일충안전유효적방법.
Objective To evaluate the clinical effects of transscleral diode laser cyclophotocoagulation and paracentesis of anterior chamber for traumatic refractory glaucoma following vitrectomy.Methods Forty-one cases (41 eyes) with traumatic refractory glaucoma following vitrectomy were received the transscleral diode laser cyclophotocoagulation and paracentesis of antenor chamber, the patients were followed three to twelve months. Results The intraocular pressure (IOP) were (43.14±12.37) mmHg before treatment. IOP were (19.76±7.06) mmHg in the last following-up. IOP was significantly decreased by this surgery (P <0.001). The visual acuity in following-up, 5 eyes was unproved, 33 stable and 3 eyes decreased. One eye was atrophiabulbi. Conclusions Transscleral diode laser cyclophotocoagulation and paracentesis of anterior chamber is a safe and effective treatment for traumatic refractory glaucoma following vitrectomy.