国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2011年
8期
1311-1313
,共3页
赵军民%刘钢生%刘杰%杨国科
趙軍民%劉鋼生%劉傑%楊國科
조군민%류강생%류걸%양국과
巩膜隧道瓣/微小%超声乳化%小梁切除
鞏膜隧道瓣/微小%超聲乳化%小樑切除
공막수도판/미소%초성유화%소량절제
scleral tunnel small incision%phaco%trabeculectomy
目的:探讨微小巩膜隧道瓣白内障超声乳化联合小梁切除术的可行性.方法:对青光眼合并白内障49例52眼行2.8mm巩膜隧道瓣切口的白内障超声乳化联合巩膜隧道内的小梁切除术.结果:术后52眼眼压控制满意,术后1wk;1,3,6mo眼压平均值分别为:(8.24±3.61)mmHg,(13.22±4.12)mmHg,(12.11±4.23)mmHg,(12.59±4.26)mmHg.取本组术后半年平均眼压与行5.5mm巩膜隧道瓣白内障超声乳化、植入一片式硬性PMMA人工晶状体并联合小梁切除术的56眼术后半年平均眼压(13.27±3.84)mmHg进行对比分析无统计学意义(t=1.7536,P=0.08239).26眼手术前后随访1a,视网膜神经纤维层厚度变化无统计学意义(P>0.05).术后裸眼视力达到或超过0.8者占62%.结论:该术式切口小,无需做巩膜瓣,切口无需缝合,并避免滤过过畅,减少术后散光发生,迅速恢复术后视力,术后反应轻,减少术后并发症.
目的:探討微小鞏膜隧道瓣白內障超聲乳化聯閤小樑切除術的可行性.方法:對青光眼閤併白內障49例52眼行2.8mm鞏膜隧道瓣切口的白內障超聲乳化聯閤鞏膜隧道內的小樑切除術.結果:術後52眼眼壓控製滿意,術後1wk;1,3,6mo眼壓平均值分彆為:(8.24±3.61)mmHg,(13.22±4.12)mmHg,(12.11±4.23)mmHg,(12.59±4.26)mmHg.取本組術後半年平均眼壓與行5.5mm鞏膜隧道瓣白內障超聲乳化、植入一片式硬性PMMA人工晶狀體併聯閤小樑切除術的56眼術後半年平均眼壓(13.27±3.84)mmHg進行對比分析無統計學意義(t=1.7536,P=0.08239).26眼手術前後隨訪1a,視網膜神經纖維層厚度變化無統計學意義(P>0.05).術後裸眼視力達到或超過0.8者佔62%.結論:該術式切口小,無需做鞏膜瓣,切口無需縫閤,併避免濾過過暢,減少術後散光髮生,迅速恢複術後視力,術後反應輕,減少術後併髮癥.
목적:탐토미소공막수도판백내장초성유화연합소량절제술적가행성.방법:대청광안합병백내장49례52안행2.8mm공막수도판절구적백내장초성유화연합공막수도내적소량절제술.결과:술후52안안압공제만의,술후1wk;1,3,6mo안압평균치분별위:(8.24±3.61)mmHg,(13.22±4.12)mmHg,(12.11±4.23)mmHg,(12.59±4.26)mmHg.취본조술후반년평균안압여행5.5mm공막수도판백내장초성유화、식입일편식경성PMMA인공정상체병연합소량절제술적56안술후반년평균안압(13.27±3.84)mmHg진행대비분석무통계학의의(t=1.7536,P=0.08239).26안수술전후수방1a,시망막신경섬유층후도변화무통계학의의(P>0.05).술후라안시력체도혹초과0.8자점62%.결론:해술식절구소,무수주공막판,절구무수봉합,병피면려과과창,감소술후산광발생,신속회복술후시력,술후반응경,감소술후병발증.
·AIM: To report the results of phacotrabeculectomy with 2.8mm scleral tunnel incision.·METHODS: Phacotrabeculectomy was performed through an identical 2.8mm scleral tunnel incision in 52 eyes of 49 patients with cataract and glaucoma. The incision was closed with out suture. Foldable intraocular lens was implanted in all eyes.·RESULTS: The control of intraocular pressure on 36 eyes was desirable. The average postoperative intraocular pressure was (8.24±3.61)mmHg, (13.22±4.12) mmHg, (12.11±4.23)mmHg and (12.59±4.26)mmHg at one week, one month, three months and six months. As compared with 56 eyes in which phacotrabeculectomy was performed with 5.5mm scleral tunnel sutureless incision, there was no statistical difference, between the two, regarding the mean postoperative intraocular pressure at six months (t=1.7536,P=0.08239).The retinal nerve fiber layer thickness was not statistically different between the preoperative and postoperative times in one year in 26 eyes. The uncorrected postoperative visual activity was 0 8 or better in 62% of 52 eyes.·CONCLUSION: The advantages of this operative method are minimal size scleral flap, smaller and sutureless incision, immediate chamber restoration, decrease in postoperative astigmatism, enhanced postoperative visual activity, reduced postoperative inflammatory response and complications.