CAJ | 학술논문

目的：探讨虹膜氪激光联合巩膜瓣下小梁组织嵌顿术与青光眼阀植入术和睫状体冷冻术治疗新生血管性青光眼的临床疗效差异。方法：收治新生血管性青光眼(NVG)患者26例，共28眼，单眼24例24眼，双眼2例4眼；男18例19眼，女8例9眼；右20眼，左8眼；年龄36～69岁，平均48.5岁。选择虹膜氪激光联合巩膜瓣下小梁组织嵌顿术12例14眼，选择青光眼阀植入术10例10眼，选择睫状体冷冻术4例4眼。结果：12例14眼采用虹膜氪激光联合巩膜瓣下小梁组织嵌顿术治疗后眼压均恢复正常，8眼视力提高，3眼视力不变，1眼视力下降，10例10眼采用青光眼阀植入术治疗后9眼眼压降至正常，4眼视力提高，5眼视力不变，2眼视力下降，发生并发症1例，为滤过道瘢痕纤维化。4例4眼采用睫状体冷冻术治疗后，3眼眼压控制，1眼眼压下降不明显，发生并发症3例，其中眼球疼痛1例，前房出血1例，葡萄膜炎1例。结论：虹膜氪激光联合巩膜瓣下小梁组织嵌顿术治疗新生血管性青光眼疗效显著。
목적：탐토홍막극격광연합공막판하소량조직감돈술여청광안벌식입술화첩상체냉동술치료신생혈관성청광안적림상료효차이。방법：수치신생혈관성청광안(NVG)환자26례，공28안，단안24례24안，쌍안2례4안；남18례19안，녀8례9안；우20안，좌8안；년령36～69세，평균48.5세。선택홍막극격광연합공막판하소량조직감돈술12례14안，선택청광안벌식입술10례10안，선택첩상체냉동술4례4안。결과：12례14안채용홍막극격광연합공막판하소량조직감돈술치료후안압균회복정상，8안시력제고，3안시력불변，1안시력하강，10례10안채용청광안벌식입술치료후9안안압강지정상，4안시력제고，5안시력불변，2안시력하강，발생병발증1례，위려과도반흔섬유화。4례4안채용첩상체냉동술치료후，3안안압공제，1안안압하강불명현，발생병발증3례，기중안구동통1례，전방출혈1례，포도막염1례。결론：홍막극격광연합공막판하소량조직감돈술치료신생혈관성청광안료효현저。
Objective:To explore the differences of clinical efficacy of iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap and glaucoma valve implantation and cyclocryotherapy in the treatment of neovascular glaucoma. Methods:26 patients with NVG were selected,there were 28 eyes.24 cases were monocular for 24 eyes,2 cases were binocular for 4 eyes;there were 18 cases of male with 19 eyes,there were 8 cases of female with 9 eyes;there were 20 right eyes and 8 left eyes;age was 36 to 69 years old,the average was 48.5 years old.12 cases with 14 eyes were treated with iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap,10 cases with 10 eyes were treated with glaucoma valve implantation,4 cases with 4 eyes were treated with cyclocryotherapy.Results:Intraocular pressure of 12 cases with 14 eyes treated with iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap were all return to normal,the eyesight of 8 eyes was improved,the eyesight of 3 eyes was the same,the eyesight of 1 eye was falling.In the 10 cases with 10 eyes treated with glaucoma valve implantation,intraocular pressure of 9 eyes were return to normal,the eyesight of 4 eyes was improved,the eyesight of 5 eyes was the same,the eyesight of 2 eyes was falling,complications occurred in 1 case with filtering scar fibrosis.In the 4 cases with 4 eyes treated with cyclocryotherapy,intraocular pressure of 3 eyes was controlled,ntraocular pressure of 1 eye was not significantly reduced,complications occurred in 3 cases,including 1 case of eye pain,1 case of anterior chamber hemorrhage,1 case of uveitis. Conclusion:The clinical efficacy of iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap is significant.