CAJ | 학술논문

目的观察小梁切开术对角膜直径＜13 mm和眼轴长度＜23 mm的先天性青光眼患儿治疗的作用.方法前瞻性临床观察.选择角膜直径＜13 mm和眼轴长度＜23 mm的原发性先天性青光眼患儿,术式选择外路小梁切开术.术中未找到Schlemm管或切开Schlemm管后未见到前房少量出血的,不纳入观察.随诊时间为18～36月.观察指标包括眼压、角膜直径和眼底杯盘比等.结果共有8名患儿13只眼入选.随访时间平均29.5±7.8月.术后所有患儿角膜恢复透明.所有的患眼未发现眼底杯盘比继续增大.8例中有1眼在随访结束时眼压为23 mmHg,未控制到21 mm Hg或以下.术后18个月手术成功率为92.3％.结论严格掌握手术指征和正确手术操作,小梁切开术治疗先天性青光眼远期手术成功率高.
목적 관찰소량절개술대각막직경＜13 mm화안축장도＜23 mm적선천성청광안환인치료적작용.방법 전첨성림상관찰.선택각막직경＜13 mm화안축장도＜23 mm적원발성선천성청광안환인,술식선택외로소량절개술.술중미조도Schlemm관혹절개Schlemm관후미견도전방소량출혈적,불납입관찰.수진시간위18～36월.관찰지표포괄안압、각막직경화안저배반비등.결과 공유8명환인13지안입선.수방시간평균29.5±7.8월.술후소유환인각막회복투명.소유적환안미발현안저배반비계속증대.8례중유1안재수방결속시안압위23 mmHg,미공제도21 mm Hg혹이하.술후18개월수술성공솔위92.3％.결론 엄격장악수술지정화정학수술조작,소량절개술치료선천성청광안원기수술성공솔고.
Objective To evaluate the surgical effect of trabeculotomy for congenital glaucoma patients with corneal diameter smaller than 13 mm and axial length shorter than 23 mm.Methods Prospective observational study.Trabeculotomy was performed on congenital glaucoma patients with corneal diameter smaller than 13 mm and ocular axial length shorter than 23 mm.Cases were excluded when Schlemm canal cannot be found or small hyphema not reaching the papillary margin cannot be observed after Schlemm canal was incised.All cases were followed up for 18 to 36 months.Main outcome items include intraocular pressure,corneal diameter and cup to disc ratio of optic nerve head.Results 13 eyes of 8 patients were enrolled in the study.Mean follow-up period was 29.5 ± 7.8 months.All corneas recovered transparent after operation.There was no increase in cup to disc ratio of optic nerve head during following up.In eight cases,only one eye' s intraocnlar pressure was 23 mm Hg and failed to be controlled under 21 mm Hg.The success rate was 92.3％ at 18 months postoperatively.Conclusion Following surgical indications strictly and performing operation correctly are critical for high long - term success rate of trabeculotomy for congenital glaucoma.