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
2014年
1期
54-57
,共4页
蒋燕玲%姜士军%朱彦霞%安德祥
蔣燕玲%薑士軍%硃彥霞%安德祥
장연령%강사군%주언하%안덕상
小梁切除术,非穿透性%丝裂霉素%眼压曲线
小樑切除術,非穿透性%絲裂黴素%眼壓麯線
소량절제술,비천투성%사렬매소%안압곡선
Trabeculectomy,non-penetrating%Mitomycin%Intraocular pressure curve,24-hour
目的 观察原发性开角型青光眼非穿透性小梁切除术联合应用丝裂霉素的临床疗效及眼压日曲线变化.方法 26例(26眼)原发性开角型青光眼行非穿透性小梁切除联合术中应用丝裂霉素,术后随访1年,观察术后眼压控制情况、眼压日曲线变化、峰谷眼压差值,视力、滤过泡、视野等情况.结果 术前平均眼压(25.2±3.4) mmHg(1 mmHg=0.133 kPa),峰值眼压(34.7 ±4.3)mmHg,谷值眼压(15.5 ±3.1)mmHg,眼压波动值(19.2±3.3)mmHg;术后平均眼压(15.1±2.5)mmHg,峰值眼压(19.7 ±3.6 mmHg),谷值眼压(10.4±2.8)mmHg,眼压波动值(9.3±2.2) mmHg,手术前后的平均眼压、峰值眼压、谷值眼压、眼压波动值的差异均有统计学意义.手术后平均眼压降低,眼压曲线峰谷差值缩小,眼压曲线趋于平稳.结论 原发性开角型青光眼行非穿透性小梁切除联合丝裂霉素术后眼压控制较好,手术安全性较好,眼压日曲线峰谷差值缩小,近期效果较好,远期效果有待进一步观察.
目的 觀察原髮性開角型青光眼非穿透性小樑切除術聯閤應用絲裂黴素的臨床療效及眼壓日麯線變化.方法 26例(26眼)原髮性開角型青光眼行非穿透性小樑切除聯閤術中應用絲裂黴素,術後隨訪1年,觀察術後眼壓控製情況、眼壓日麯線變化、峰穀眼壓差值,視力、濾過泡、視野等情況.結果 術前平均眼壓(25.2±3.4) mmHg(1 mmHg=0.133 kPa),峰值眼壓(34.7 ±4.3)mmHg,穀值眼壓(15.5 ±3.1)mmHg,眼壓波動值(19.2±3.3)mmHg;術後平均眼壓(15.1±2.5)mmHg,峰值眼壓(19.7 ±3.6 mmHg),穀值眼壓(10.4±2.8)mmHg,眼壓波動值(9.3±2.2) mmHg,手術前後的平均眼壓、峰值眼壓、穀值眼壓、眼壓波動值的差異均有統計學意義.手術後平均眼壓降低,眼壓麯線峰穀差值縮小,眼壓麯線趨于平穩.結論 原髮性開角型青光眼行非穿透性小樑切除聯閤絲裂黴素術後眼壓控製較好,手術安全性較好,眼壓日麯線峰穀差值縮小,近期效果較好,遠期效果有待進一步觀察.
목적 관찰원발성개각형청광안비천투성소량절제술연합응용사렬매소적림상료효급안압일곡선변화.방법 26례(26안)원발성개각형청광안행비천투성소량절제연합술중응용사렬매소,술후수방1년,관찰술후안압공제정황、안압일곡선변화、봉곡안압차치,시력、려과포、시야등정황.결과 술전평균안압(25.2±3.4) mmHg(1 mmHg=0.133 kPa),봉치안압(34.7 ±4.3)mmHg,곡치안압(15.5 ±3.1)mmHg,안압파동치(19.2±3.3)mmHg;술후평균안압(15.1±2.5)mmHg,봉치안압(19.7 ±3.6 mmHg),곡치안압(10.4±2.8)mmHg,안압파동치(9.3±2.2) mmHg,수술전후적평균안압、봉치안압、곡치안압、안압파동치적차이균유통계학의의.수술후평균안압강저,안압곡선봉곡차치축소,안압곡선추우평은.결론 원발성개각형청광안행비천투성소량절제연합사렬매소술후안압공제교호,수술안전성교호,안압일곡선봉곡차치축소,근기효과교호,원기효과유대진일보관찰.
Objective To analysis the continuous 24-hour intraocular pressure (IOP) curve in patients with primary open-angle glaucoma (POAG) after non-penetrating trabecular surgery (NPTS) with Mitomycin application.Methods Twenty-six eyes of 26 patients with POAG that underwent non-penetrating trabeculectomy with Mitomycin application were studied.All patients were followed up for 1 year.24-hour IOP monitoring,intraocular pressure,mean IOP,differential pressure,visual acuity,filtering bleb and visual fields were observed.Results Preoperative mean IOP was (25.2 ± 3.4) mmHg (1 mmHg =0.133 kPa),the peak IOP was (34.7 ± 4.3) mmHg,the valley IOP was (15.5 ± 3.1)mmHg,the IOPfluctuation was (19.2 ±3.3) mmHg.Postoperative mean IOP was (15.1 ±2.5) mmHg,the peak IOP was (19.7 ± 3.6) mmHg,the valley IOP was (10.4 ± 2.8) mmHg,the I0P fluctuation was (9.3-± 2.2) mmHg.There was significant difference between the preoperative items and the postoperative items in the 24-hour IOP curve.Conclusion Non-penetrating trabecular surgery with Mitomycin application is a safe and effective method of treating the primary open-angle glaucoma.
