CAJ | 학술논문

目的探讨小梁切除术后激光断线调整术后眼压的方法及疗效.方法常规小梁切除术中严密缝合巩膜瓣,术后获得正常深度的前房,根据术后眼压情况,采用532激光切断巩膜缝线,适度按摩眼球达有效标准.结果 50只眼小梁切除术病例,术后浅前房0只眼,18只眼术后实行激光断线术联合适度按摩,其中切断一根缝线14只眼,切断二根缝线4只眼.术后半年眼压8～20 mm Hg 39只眼,21～25 mm Hg5只眼,26～40 mm Hg 1眼,5只眼失访.主要并发症:激光同时切断2根缝线浅前房脉络膜脱离1只眼.结论青光眼小梁切除术中严密缝合巩膜瓣,术后联合激光断线调整眼压,可以有效地避免术后浅前房和其他术后并发症的发生,获得理想的术后过程和手术疗效.
목적 탐토소량절제술후격광단선조정술후안압적방법급료효.방법 상규소량절제술중엄밀봉합공막판,술후획득정상심도적전방,근거술후안압정황,채용532격광절단공막봉선,괄도안마안구체유효표준.결과 50지안소량절제술병례,술후천전방0지안,18지안술후실행격광단선술연합괄도안마,기중절단일근봉선14지안,절단이근봉선4지안.술후반년안압8～20 mm Hg 39지안,21～25 mm Hg5지안,26～40 mm Hg 1안,5지안실방.주요병발증:격광동시절단2근봉선천전방맥락막탈리1지안.결론 청광안소량절제술중엄밀봉합공막판,술후연합격광단선조정안압,가이유효지피면술후천전방화기타술후병발증적발생,획득이상적술후과정화수술료효.
Objective To evaluate the method and efficacy of regulating intraocular pressure of glaucoma with laser cutting off scleral suture after trabeculectomy.Methods Postoperative normal depth of anterior chamber after trabeculectomy was obtained with close suture scleral flap.The contact stitches microscope by 532 laser cutting scleral sutures were used according to the postoperative intraocular pressure and appropriate massage was performed to increase filtration for regulating intraocular pressure.Results Fifty trabeculectomy cases without postoperative shallow anterior chamber and 18 eyes after the implementation of laser disconnected scleral suture combined with moderate massage,which did cut off a suture on 14 eyes and two stitches on 4 eyes,followed-up for half a year that lOP of 39 eyes was 8-20mmHg,5 eyes with 21-25 mmHg and an eye with 26-40 mmHg.The main complication:a case with shallow anterior chamber with choroidal detachment by the laser cutting off the two sutures.Conclusions To tightly suture scleral flap during the glaucoma trabeculectomy and regulate intraocular pressure combining with laser cutting string after trabeculectomy,can effectively avoid the occurrence of shallow anterior chamber and other postoperative complications,and access to the ideal postoperative course and surgical effect.