CAJ | 학술논문

目的探讨难治性青光眼应用巩膜瓣下蓄水池样小梁切除术联合羊膜植入及应用丝裂霉素C治疗的临床疗效.方法 83例(102眼)难治性青光眼进行瓣下蓄水池样小梁切除术,同时联合应用丝裂霉素C、羊膜植入和可拆除调整缝线.术后随访4～28个月,平均15个月.结果视力:有7眼视力较术前提高,90眼视力无变化,5眼视力下降(P＞0.05).眼压:术前(34.48±6.35)mmHg,术后(14.23±4.57)mmHg(P＜0.01).滤过泡:全部病例出现功能性滤过泡95眼,非功能性滤过泡7眼.结论瓣下蓄水池样小梁切除术联合羊膜植入、丝裂霉素C、可拆除调整缝线治疗难治性青光眼能有效降低眼压,进而保护视功能.
목적 탐토난치성청광안응용공막판하축수지양소량절제술연합양막식입급응용사렬매소C치료적림상료효.방법 83례(102안)난치성청광안진행판하축수지양소량절제술,동시연합응용사렬매소C、양막식입화가탁제조정봉선.술후수방4～28개월,평균15개월.결과 시력:유7안시력교술전제고,90안시력무변화,5안시력하강(P＞0.05).안압:술전(34.48±6.35)mmHg,술후(14.23±4.57)mmHg(P＜0.01).려과포:전부병례출현공능성려과포95안,비공능성려과포7안.결론 판하축수지양소량절제술연합양막식입、사렬매소C、가탁제조정봉선치료난치성청광안능유효강저안압,진이보호시공능.
Objective To investigate the clinical efffect of compound trabeculectomy with sluice pool like filtrating under scleral flap combined with amniotic membrane transplantation and mitomycin-C in treating refractory glaucoma. Methods 102 eyes of 83 refractory glaucoma patients were treated with compound trabeculectomy with sluice pool like filtrating under scleral flap, and conbined with mitomycin-C, adjustable stitches, and amniotic membrane transplantation. Results During an average follow up of 15months (4 months to 28 months). The vision improved 7 eyes, remained the same in 90 eyes, worse than before in 5 eyes, whose differences were not notable (P ＞ 0. 05 ). The preoperative intraocular pressure (IOP) was 34.48±6.35 mmHg, and the postoperative IOP was 14.23±4.57 mmHg (P＜0.01 ). Functional filtrating bleb formed in 95 eyes and nonfunctional one in 7 eyes. Conclusion Trabeculectomy with sluice pool like filtrating under scleral flap combined with amniotic membrance transplantation, adjustable stitches and mitomycin-C in treating refractory glaucoma can effectively decrease the intraocular pressure and keep visual funtion.