国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
10期
1818-1821
,共4页
王俊勇%邵毅%周方兴%孙慧
王俊勇%邵毅%週方興%孫慧
왕준용%소의%주방흥%손혜
超声乳化%房角分离术%小梁切除术后%绝对期青光眼
超聲乳化%房角分離術%小樑切除術後%絕對期青光眼
초성유화%방각분리술%소량절제술후%절대기청광안
phacoemulsification%goniosynechialysis%trabeculectomy%absolute glaucoma
Citation：Wang JY, Shao Y, Zhou FX, et al. Clinical observation of phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy. Guoji Yanke Zazhi( Int Eye Sci)2014；14(10)：1818-1821<br> 目的：观察白内障超声乳化联合房角分离术治疗小梁切除术后绝对期青光眼的效果。<br> 方法：对16例16眼绝对期青光眼施行白内障超声乳化联合房角分离术,随访6~12mo,观察眼压、前房深度、术前术后用药种类(数量)、术前与术后1 mo焦虑和抑郁状态、眼表症状等情况。<br> 结果：行白内障超声乳化联合房角分离术后,眼压明显下降。术前眼压平均值35.00±15.43mmHg,术后第1d眼压平均值为12.00±6.69 mmHg；术后6 mo 为15.00±4.26 mmHg；术后12 mo为15.3±5.2 mmHg。术后眼压与术前比较差异有统计学意义(t=6.22,P<0.05)。术前前房深度为1.45±0.19mm,术后增加至3.37±0.13mm,差异有统计学意义(t=6.65,P<0.05)。术后仅2例患者需用2种降眼压药物,2例患者需1种降眼压药物。术后12 mo 16例患者的焦虑和抑郁状态均有所改善；16例患者眼胀、眼痛等主观不适症状均减轻；所有患者眼球都得以保留,且无严重并发症。<br> 结论：超声乳化联合房角分离治疗小梁切除术后绝对期青光眼是安全、有效的手术选择。
Citation：Wang JY, Shao Y, Zhou FX, et al. Clinical observation of phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy. Guoji Yanke Zazhi( Int Eye Sci)2014；14(10)：1818-1821<br> 目的：觀察白內障超聲乳化聯閤房角分離術治療小樑切除術後絕對期青光眼的效果。<br> 方法：對16例16眼絕對期青光眼施行白內障超聲乳化聯閤房角分離術,隨訪6~12mo,觀察眼壓、前房深度、術前術後用藥種類(數量)、術前與術後1 mo焦慮和抑鬱狀態、眼錶癥狀等情況。<br> 結果：行白內障超聲乳化聯閤房角分離術後,眼壓明顯下降。術前眼壓平均值35.00±15.43mmHg,術後第1d眼壓平均值為12.00±6.69 mmHg；術後6 mo 為15.00±4.26 mmHg；術後12 mo為15.3±5.2 mmHg。術後眼壓與術前比較差異有統計學意義(t=6.22,P<0.05)。術前前房深度為1.45±0.19mm,術後增加至3.37±0.13mm,差異有統計學意義(t=6.65,P<0.05)。術後僅2例患者需用2種降眼壓藥物,2例患者需1種降眼壓藥物。術後12 mo 16例患者的焦慮和抑鬱狀態均有所改善；16例患者眼脹、眼痛等主觀不適癥狀均減輕；所有患者眼毬都得以保留,且無嚴重併髮癥。<br> 結論：超聲乳化聯閤房角分離治療小樑切除術後絕對期青光眼是安全、有效的手術選擇。
Citation：Wang JY, Shao Y, Zhou FX, et al. Clinical observation of phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy. Guoji Yanke Zazhi( Int Eye Sci)2014；14(10)：1818-1821<br> 목적：관찰백내장초성유화연합방각분리술치료소량절제술후절대기청광안적효과。<br> 방법：대16례16안절대기청광안시행백내장초성유화연합방각분리술,수방6~12mo,관찰안압、전방심도、술전술후용약충류(수량)、술전여술후1 mo초필화억욱상태、안표증상등정황。<br> 결과：행백내장초성유화연합방각분리술후,안압명현하강。술전안압평균치35.00±15.43mmHg,술후제1d안압평균치위12.00±6.69 mmHg；술후6 mo 위15.00±4.26 mmHg；술후12 mo위15.3±5.2 mmHg。술후안압여술전비교차이유통계학의의(t=6.22,P<0.05)。술전전방심도위1.45±0.19mm,술후증가지3.37±0.13mm,차이유통계학의의(t=6.65,P<0.05)。술후부2례환자수용2충강안압약물,2례환자수1충강안압약물。술후12 mo 16례환자적초필화억욱상태균유소개선；16례환자안창、안통등주관불괄증상균감경；소유환자안구도득이보류,차무엄중병발증。<br> 결론：초성유화연합방각분리치료소량절제술후절대기청광안시안전、유효적수술선택。
AIM: To observe the effect of combined goniosynechialysis in treating absolute glaucoma after trabeculectomy. <br> METHODS:Phacoemulsification combined goniosynechialysis was performed on 16 patients ( 16 eyes ) with absolute glaucoma after trabeculectomy, and they were followed up for 6 ~12mo, The postoperative intraocular pressure ( IOP ) and anterior chamber depth, preoperative and postoperative medication types (quantity), preoperative and postoperative 1 month's status of anxiety and depression, symptoms of ocular surface were observed. RESULTS: The IOP decreased significantly after phacoemulsification combined goniosynechialysis. The mean IOP was 35. 00±15. 43mmHg preoperatively, and it was 12. 00±6. 69mmHg, 15. 00±4. 26mmHg and 15. 3±5.2mmHg on 1d, 6 and 12mo after the surgery. The statistic difference was found between preoperative and postoperative (t=6. 22, P<0. 05). The anterior chamber depth was 1. 45 ± 0. 19mm before the surgery, and increased to 3. 37±0. 13mm after the surgery (t=6. 65, P<0. 05). After the surgery, 2 patients needed two kinds of drugs, 2 patients needed one kind of drug. After 12mo of follow-up, anxiety and depression status were improved in all 16 patients. Subjective discomfort symptoms of 16 patients such as eye bilges, eye pain were relieved. All of the patients' eyeballs were preserved, and no serious complications. <br> CONCLUSION: Phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy is a safe and effective surgical option.
