中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
7期
540-542
,共3页
张海江%董洁玉%吴昊%霍鸣
張海江%董潔玉%吳昊%霍鳴
장해강%동길옥%오호%곽명
青光眼,新生血管性%泛视网膜冷凝%泛视网膜光凝%小梁切除术%丝裂霉素C
青光眼,新生血管性%汎視網膜冷凝%汎視網膜光凝%小樑切除術%絲裂黴素C
청광안,신생혈관성%범시망막냉응%범시망막광응%소량절제술%사렬매소C
Glauocma,neovascular%Cryocoagulation,panretinal%Photocoagulation,panretinal%Trabeculectomy%Mitomycin C
目的 探讨晚期新生血管性青光眼的治疗方案及治疗效果.方法 收集晚期新生血管性青光眼28例(28眼),根据屈光间质情况选择泛视网膜冷凝或泛视网膜光凝,再联合复合式小梁切除术,分别观察各组术后眼压、视力、虹膜新生血管消退情况及并发症等.结果 术后随访3～24个月,平均(5.8±2.4)月.泛视网膜冷凝组16例,泛视网膜光凝组12例.前者术后眼压12例控制正常,手术成功率75.0％(12/16).术后视力提高4例,虹膜新生血管全部消退,1例术中发生脉络膜下爆发性出血,2例术后发生增生性玻璃体视网膜病变导致视网膜脱离；后者术后眼压8例控制正常,手术成功率66.7％(8/12).术后视力提高8例,7例虹膜新生血管全部消退,无严重并发症发生.结论 泛视网膜冷凝或光凝联合复合式小梁切除术治疗晚期新生血管性青光眼是一种简单可靠的办法,在基层医院会受到欢迎.
目的 探討晚期新生血管性青光眼的治療方案及治療效果.方法 收集晚期新生血管性青光眼28例(28眼),根據屈光間質情況選擇汎視網膜冷凝或汎視網膜光凝,再聯閤複閤式小樑切除術,分彆觀察各組術後眼壓、視力、虹膜新生血管消退情況及併髮癥等.結果 術後隨訪3～24箇月,平均(5.8±2.4)月.汎視網膜冷凝組16例,汎視網膜光凝組12例.前者術後眼壓12例控製正常,手術成功率75.0％(12/16).術後視力提高4例,虹膜新生血管全部消退,1例術中髮生脈絡膜下爆髮性齣血,2例術後髮生增生性玻璃體視網膜病變導緻視網膜脫離；後者術後眼壓8例控製正常,手術成功率66.7％(8/12).術後視力提高8例,7例虹膜新生血管全部消退,無嚴重併髮癥髮生.結論 汎視網膜冷凝或光凝聯閤複閤式小樑切除術治療晚期新生血管性青光眼是一種簡單可靠的辦法,在基層醫院會受到歡迎.
목적 탐토만기신생혈관성청광안적치료방안급치료효과.방법 수집만기신생혈관성청광안28례(28안),근거굴광간질정황선택범시망막냉응혹범시망막광응,재연합복합식소량절제술,분별관찰각조술후안압、시력、홍막신생혈관소퇴정황급병발증등.결과 술후수방3～24개월,평균(5.8±2.4)월.범시망막냉응조16례,범시망막광응조12례.전자술후안압12례공제정상,수술성공솔75.0％(12/16).술후시력제고4례,홍막신생혈관전부소퇴,1례술중발생맥락막하폭발성출혈,2례술후발생증생성파리체시망막병변도치시망막탈리；후자술후안압8례공제정상,수술성공솔66.7％(8/12).술후시력제고8례,7례홍막신생혈관전부소퇴,무엄중병발증발생.결론 범시망막냉응혹광응연합복합식소량절제술치료만기신생혈관성청광안시일충간단가고적판법,재기층의원회수도환영.
Objective To explore the treatment strategy for neovascular glaucoma.Methods The medical records of 28 eyes of 28 cases with neovascular glaucoma were analysed.Panretinal cryocoagulation or photocoagulation was chosen based on the degree of opacity of ocular media.Then the patients underwent trabeculectomy.The intraocular pressure,visual acuity,regression of iris neovascularization and complications were observed.Results The average follow up was 5.8 ± 2.4 months (range 3 ～ 24 months).There were 16 cases treated by panretinal cryocoagulation combined with trabeculectomy (group A).Of those 16 cases,12 cases had normal intraocular pressure after treatment.The success rate was 75.0％.The visual acuities were improved in 4 cases.Complete regression of iris neovascularization had been noted in all cases in group A.One case had explosive choroidal hemorrhage during the operation.Two cases are complicated with proliferative vitreoretinopathy which later caused retinal detachment.There were 12 cases treated by panretinal photocoagulation combined with trabeculectomy (group B).In this group,8 cases obtained controlled intraocular pressure and the success rate was 66.7％.8 cases had better visual acuities.Complete regression of iris neovascularization had been noted in 7 cases in group B.No severe complications were observed in this group.Conclusion Panretinal cryocoagulation or photocoagulation combined with trabeculectomy is an easy and reliable method in the management of neovascular glaucoma which will be popular in rural hospitals.
