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
9期
641-644
,共4页
眼内窥镜%青光眼%白内障%睫状体光凝术%超声乳化术
眼內窺鏡%青光眼%白內障%睫狀體光凝術%超聲乳化術
안내규경%청광안%백내장%첩상체광응술%초성유화술
Endoscope%Glaucoma%Cataract%Cyclophotocoagulation%Phacoemulsification
目的 观察超声乳化吸出人工晶状体植入联合眼内窥镜睫状突光凝术(三联手术)治疗晚期青光眼抗青光眼术后眼压失控合并白内障患者的疗效.方法 晚期青光眼术后眼压失控合并白内障65例(66只眼).均选取角膜缘切口进行三联手术.记录术后1d、3d、1周和末次随访的视力和眼压,炎症反应情况,记录术前术后使用降眼压药物的数量.记录术中和术后眼部并发症情况.结果 术前在最大量降眼压药物的使用下,眼压平均(28.4±10.3)mm Hg.术后末次随访的眼压为(15.2±4.1)mm Hg(1 mm Hg=0.133 kPa),眼压下降46.5％(F=112.96,P＜0.001).术前视力范围无光感～0.5,术后末次随访视力提高者49眼(74.2％),视力不变者16眼(24.2％),视力轻度下降者1眼(1.5％)(P＜0.001).术前局部用降眼压药物(3.58±0.84)种.末次随访局部使用降眼压药物(0.12±0.48)种(P＜0.001).术中术后无严重并发症发生.结论 此种三联手术作为一种晚期抗青光眼术后眼压失控的青光眼合并白内障的联合治疗手段是安全有效的.
目的 觀察超聲乳化吸齣人工晶狀體植入聯閤眼內窺鏡睫狀突光凝術(三聯手術)治療晚期青光眼抗青光眼術後眼壓失控閤併白內障患者的療效.方法 晚期青光眼術後眼壓失控閤併白內障65例(66隻眼).均選取角膜緣切口進行三聯手術.記錄術後1d、3d、1週和末次隨訪的視力和眼壓,炎癥反應情況,記錄術前術後使用降眼壓藥物的數量.記錄術中和術後眼部併髮癥情況.結果 術前在最大量降眼壓藥物的使用下,眼壓平均(28.4±10.3)mm Hg.術後末次隨訪的眼壓為(15.2±4.1)mm Hg(1 mm Hg=0.133 kPa),眼壓下降46.5％(F=112.96,P＜0.001).術前視力範圍無光感～0.5,術後末次隨訪視力提高者49眼(74.2％),視力不變者16眼(24.2％),視力輕度下降者1眼(1.5％)(P＜0.001).術前跼部用降眼壓藥物(3.58±0.84)種.末次隨訪跼部使用降眼壓藥物(0.12±0.48)種(P＜0.001).術中術後無嚴重併髮癥髮生.結論 此種三聯手術作為一種晚期抗青光眼術後眼壓失控的青光眼閤併白內障的聯閤治療手段是安全有效的.
목적 관찰초성유화흡출인공정상체식입연합안내규경첩상돌광응술(삼련수술)치료만기청광안항청광안술후안압실공합병백내장환자적료효.방법 만기청광안술후안압실공합병백내장65례(66지안).균선취각막연절구진행삼련수술.기록술후1d、3d、1주화말차수방적시력화안압,염증반응정황,기록술전술후사용강안압약물적수량.기록술중화술후안부병발증정황.결과 술전재최대량강안압약물적사용하,안압평균(28.4±10.3)mm Hg.술후말차수방적안압위(15.2±4.1)mm Hg(1 mm Hg=0.133 kPa),안압하강46.5％(F=112.96,P＜0.001).술전시력범위무광감～0.5,술후말차수방시력제고자49안(74.2％),시력불변자16안(24.2％),시력경도하강자1안(1.5％)(P＜0.001).술전국부용강안압약물(3.58±0.84)충.말차수방국부사용강안압약물(0.12±0.48)충(P＜0.001).술중술후무엄중병발증발생.결론 차충삼련수술작위일충만기항청광안술후안압실공적청광안합병백내장적연합치료수단시안전유효적.
Objective To assess the efficacy of cataract phacoemulsification and aspiration,intraocular lens implantation combined with endoscopic cyclophotocoagulation in uncontrolled late stage glaucoma after anti-glaucoma surgery combined with cataract.Methods Prospective case series.66 eyes of 65 patients with uncontrolled glaucoma combined with cataract of Beijing Tongren Hospital during July 2010 and June 2012 underwent cataract phacoemulsification and aspiration and endoscopic cyclophotocoagulation.The preoperative visual acuity and intraocular pressure (IOP) were analyzed,as were the visual acuity and intraocular pressure of 1 d,3 d,1 week and the last follow-up postoperation.The numbers of preoperative and postoperative anti-glaucoma agents were recorded.Complications during and after operation were recorded.Results The preoperative IOP was (28.4 ± 10.3) mm Hg (1 mm Hg =O.133 kPa) using maximum amount of anti-glaucoma agents while the IOP of last follow-up was (15.2 ±4.1) mm Hg.The reduction was 46.5％ and there was statistical significance (P ＜ O.001).The preoperative visual acuity was NLP ～ O.5,The visual acuities of the last follow-up were improved in 49 eyes (74.2％) and 16 eyes (24.2％) remained the same as preoperative vision.One eye decreased slightly (from 0.04 to 0.02) (1.5％).There was statistical significance between preoperative and postoperative visual acuity(P ＜ 0.001).The number of preoperative local anti-glaucoma agents was 3.58 ± 0.84 while that of last follow-up was 0.12 ± 0.48.There was statistical significance (P ＜ 0.001).No choroidal detachment or expulsive haemorrhage occurred during operation.No hypotony,phthisis bulbi,endophthalmitis or macular edema occurred at the last follow-up.Conclusion Cataract phacoemulsification and aspiration combined with endoscopic cyclophotocoagulation to treat uncontrolled late stage glaucoma combined with cataract is effective and safe.
