CAJ | 학술논문

目的探讨青光眼持续高眼压状态下进行复合式小梁切除术的临床效果.方法急性闭角型青光眼76例(79眼).按术前眼压控制情况分为高眼压组28例(30眼),术前眼压≥40mmHg；和对照组48例(49眼),术前眼压＜40 mmHg.两组均行复合式小梁切除术,随访6～12个月,对两组的手术效果和术后并发症进行比较.结果两组术中术后均未出现脉络膜下爆发性出血、玻璃体脱出或睫状环阻塞性青光眼等严重并发症.术后视力均得到提高；术后1周高眼压组眼压高于对照组.而术后6个月两组眼压控制情况差异无统计学意义；术后可调节缝线的拆除时间高眼压组明显早于对照组.结论青光眼持续高眼压状态下进行复合式小梁切除术是安全、有效的治疗方法.
목적 탐토청광안지속고안압상태하진행복합식소량절제술적림상효과.방법 급성폐각형청광안76례(79안).안술전안압공제정황분위고안압조28례(30안),술전안압≥40mmHg；화대조조48례(49안),술전안압＜40 mmHg.량조균행복합식소량절제술,수방6～12개월,대량조적수술효과화술후병발증진행비교.결과 량조술중술후균미출현맥락막하폭발성출혈、파리체탈출혹첩상배조새성청광안등엄중병발증.술후시력균득도제고；술후1주고안압조안압고우대조조.이술후6개월량조안압공제정황차이무통계학의의；술후가조절봉선적탁제시간고안압조명현조우대조조.결론 청광안지속고안압상태하진행복합식소량절제술시안전、유효적치료방법.
Objective To explore the effectiveness of trabeculectomy in glaucoma patients with sustained ocular hypertension.Methods A total of 79 eyes of 76 patients with a diagnosis of acute primary angle closure glaucoma had underwent trabeculectomy.The patients were divided into two groups:high intraocular pressure (IOP) group (30 eyes of 28 cases with preoperative IOP ≥40 mmHg) and control group (49 eyes of 48 cases with preoperative IOP ＜40 mmHg).The follow up was from 6 to 12 months.The surgical effectiveness and postoperative complications were compared and analysed.Results The severe complications such as expulsive suprachoroidal hemorrhage,vitreous hernia or ciliary block glaucoma were not found in those two groups.The visual acuities were improved in all cases.The IOP of high IOP group was higher than control group significantly at 1 week postoperatively.The differences of IOP between the two groups was not statistically significant at 6 months postoperatively.The time of removing adjustable suture was earlier in high IOP group than control group.Conclusion Trabeculectomy is safe and effective for glaucoma patients with sustained ocular hypertension.