CAJ | 학술논문

目的：探讨原发性闭角型青光眼高眼压状态下行复合式小梁切除术的可行性、安全性及临床效果。方法对我院32例32眼眼压控制不良的急性闭角型青光眼患者进行了复合式小梁切除术。结果32眼手术顺利，无爆发性脉络膜出血、恶性青光眼等严重并发症发生，术后随访3个月~6个月，28眼眼压控制在9~21 mm Hg，其中3眼需局部加用一种降眼压药物；4眼加用一种降眼压药物眼压不能控制在21 mm Hg以下。结论原发性闭角型青光眼高眼压状态下行复合式小梁切除术是安全有效的。
목적：탐토원발성폐각형청광안고안압상태하행복합식소량절제술적가행성、안전성급림상효과。방법대아원32례32안안압공제불량적급성폐각형청광안환자진행료복합식소량절제술。결과32안수술순리，무폭발성맥락막출혈、악성청광안등엄중병발증발생，술후수방3개월~6개월，28안안압공제재9~21 mm Hg，기중3안수국부가용일충강안압약물；4안가용일충강안압약물안압불능공제재21 mm Hg이하。결론원발성폐각형청광안고안압상태하행복합식소량절제술시안전유효적。
Objective To investigate the feasibility,safety and clinical effect of combined trabeculectomy for primary angle-closure glaucoma with high intraocular pressure. Methods 32 cases (32 eyes)of acute angle-closure glaucoma with intraocular pressure not controlled were operated by trabeculectomy. Results 32 eyes were surgeried smoothly,without explosive choroid bleeding,malignant glaucoma and other serious complications,postoperative follow-up of 3 to 6 months.28 eyes of intraocular pressure were controlled in 9~21 mm Hg,including 3 eyes need to add one kind of drug,4 eyes with 1 kind of drug intraocular pressure were controlled under 21 mm Hg. Conclusion Combined trabeculectomy for primary angle-closure glaucoma with high intraocular pressure state downward composite is a safe and effective.