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
2期
143-145
,共3页
青光眼%手术%滤过泡%眼压
青光眼%手術%濾過泡%眼壓
청광안%수술%려과포%안압
Glaucoma%Operation%Bleb filtering%Pressure,intraocular
目的 探讨小梁切除术联合可松解缝线及抗代谢药物对原发性闭角型青光眼(PACG)的疗效.方法 对小梁切除术联合可松解缝线及抗代谢药物的PACG 146例(180眼)进行回顾性研究,分析术后眼压控制情况、滤过泡形态及并发症.结果 所有180眼中,152眼(84.4％)不用降眼压药物情况下眼压在10～21 mmHg:26眼(14.4％)加用局部降眼压药物,眼压控制在10～21 mm-Hg:2眼(1.1％)眼压失控,分别于术后3个月和5个月行睫状体冷凝治疗.未出现浅前房、低眼压或滤过泡相关并发症.结论 小梁切除术联合可松解缝线及抗代谢药物治疗PACG能较好控制术后眼压并避免术后早期浅前房、低眼压等并发症,减少滤过道瘢痕化的发生.
目的 探討小樑切除術聯閤可鬆解縫線及抗代謝藥物對原髮性閉角型青光眼(PACG)的療效.方法 對小樑切除術聯閤可鬆解縫線及抗代謝藥物的PACG 146例(180眼)進行迴顧性研究,分析術後眼壓控製情況、濾過泡形態及併髮癥.結果 所有180眼中,152眼(84.4％)不用降眼壓藥物情況下眼壓在10～21 mmHg:26眼(14.4％)加用跼部降眼壓藥物,眼壓控製在10～21 mm-Hg:2眼(1.1％)眼壓失控,分彆于術後3箇月和5箇月行睫狀體冷凝治療.未齣現淺前房、低眼壓或濾過泡相關併髮癥.結論 小樑切除術聯閤可鬆解縫線及抗代謝藥物治療PACG能較好控製術後眼壓併避免術後早期淺前房、低眼壓等併髮癥,減少濾過道瘢痕化的髮生.
목적 탐토소량절제술연합가송해봉선급항대사약물대원발성폐각형청광안(PACG)적료효.방법 대소량절제술연합가송해봉선급항대사약물적PACG 146례(180안)진행회고성연구,분석술후안압공제정황、려과포형태급병발증.결과 소유180안중,152안(84.4％)불용강안압약물정황하안압재10～21 mmHg:26안(14.4％)가용국부강안압약물,안압공제재10～21 mm-Hg:2안(1.1％)안압실공,분별우술후3개월화5개월행첩상체냉응치료.미출현천전방、저안압혹려과포상관병발증.결론 소량절제술연합가송해봉선급항대사약물치료PACG능교호공제술후안압병피면술후조기천전방、저안압등병발증,감소려과도반흔화적발생.
Objective To discuss clinical effect of the compound trabeculectomy combined with releasable suture and anti-metabolite medicines in primary angle-closure glaucoma(PACG).Methods The postoperative condition of intraocular pressure (IOP),bleb formation and complications were recorded through a retrospective study on 180 eyes of 146 cases of PACG who underwent compound trabeculectomy combined with the releasable suture and anti-metabolite medication.Results There were 152 eyes (84.4％) with functional filtering bleb,and their postoperative IOP were 10 ～21mmHg without using ocular hypotensive agents ;26 eyes (14.4％) with the tendency of forming cicatricial nonfunctional filtering bleb and their postoperative IOP were 10 ～ 21mmHg with using local ocular hypotensive agents; 2 eyes (1.1％)with not obvious filtering bleb and uncontrollable IOP,cyclocryotherapy were performed postoperatively in 3 months and 5 months.No shallow anterior chamber,ocular hypotension or filtering bleb related complications appeared.Conclusion The compound trabeculectomy combined with releasable suture and anti-metabolite medication in primary angle-closure glaucoma can control postoperative IOP preferably,avoid shallow anterior chamber and ocular hypotension complications and improve the healing condition obviously.
