CAJ | 학술논문

目的探讨复合式小梁切除术治疗经透明角膜切口人工晶状体植入术后继发青光眼的疗效及意义.方法 31例(32只眼)经透明角膜切口人工晶状体植入术后继发青光眼行常规复合式小梁切除术.术后观察视力、眼压、滤过泡、浅前房及其它并发症.结果手术12月后:视力增进2/32只眼(6.2%),不变28/32只眼(87.6%),下降2/32只眼(6.2%).功能性滤过泡24/32只眼(75.0%).眼压≤21mmHg(1kPa=7.5mmHg)者26/32只眼(81.2%),术后早期并发症有浅前房5只眼(15.5%),前房出血3只眼(9.3%)低眼压性黄斑病变2只眼(6.2%),脉络膜脱离1只眼(3.1%).结论复合式小梁切除术是治疗经透明角膜切口人工晶状体植人术后继发青光眼的有效方法,此类青光眼不应归属于难治性青光眼.
목적 탐토복합식소량절제술치료경투명각막절구인공정상체식입술후계발청광안적료효급의의.방법 31례(32지안)경투명각막절구인공정상체식입술후계발청광안행상규복합식소량절제술.술후관찰시력、안압、려과포、천전방급기타병발증.결과 수술12월후:시력증진2/32지안(6.2%),불변28/32지안(87.6%),하강2/32지안(6.2%).공능성려과포24/32지안(75.0%).안압≤21mmHg(1kPa=7.5mmHg)자26/32지안(81.2%),술후조기병발증유천전방5지안(15.5%),전방출혈3지안(9.3%)저안압성황반병변2지안(6.2%),맥락막탈리1지안(3.1%).결론 복합식소량절제술시치료경투명각막절구인공정상체식인술후계발청광안적유효방법,차류청광안불응귀속우난치성청광안.
Objective To estimate efficacy of composite glaucoma filtration surgery after intraocular lens implantation through a clear corneal incision.Methods Thirty-one cases (32 eyes) of secondary glaucoma following posterior chamber intraocular lens implantation were treated by composite glaucoma filtration surgery. The visual acuity, intraocular pressure, functional filter blebs, anterior chamber depth and postoperative complications were observed.Results Followed-up for 12 months after surgery, visual acuity of 2 eyes (6.2%) increased, 28 eyes (87.6%) maintained and 2 eyes (6.2%) dropped.The success rate of functional filter blebs was 24 seen in eyes (75.0%).The ocular pressure of 26 eyes dropped to 21 mmHg (lkPa=7.5 mmHg) below (81.2%).The complications included shallow anterior chamber (5 eyes, 15.5%), hyphema (3 eyes, 9.8%), hypotous maculopathy (2 eyes, 6.2%), choroidal detachment (1 eye, 3.1% ).Conclusions Composite glaucoma filtration surgery is an effective method to treat secondary glaucoma after intraocular lens implantation through a clear corneal incision.This kind of secondary glaucoma is not ascribed to refractory glaucoma.