CAJ | 학술논문

目的评价玻璃体切除联合眼内镜下睫状体光凝术治疗难治性青光眼的效果.方法对10例(10只眼)难治性青光眼均行玻璃体切除术和晶状体切除后在眼内镜下行激光睫状体光凝,激光能量0.6～0.8W,时间0.5s,光凝下方180°～220°范围,光凝30～40点.结果术后随访6～15个月,10例眼压均控制在＜21 mmHg(1 mmHg =0.133 kPa).最佳矫正视力提高者7例,不变者1例,不配合者1例,1例睫状体光凝术中出现脉络膜下爆发性出血.结论玻璃体切除联合眼内镜下睫状体光凝治疗难治性青光眼是一种相对有效的方法.
목적 평개파리체절제연합안내경하첩상체광응술치료난치성청광안적효과.방법 대10례(10지안)난치성청광안균행파리체절제술화정상체절제후재안내경하행격광첩상체광응,격광능량0.6～0.8W,시간0.5s,광응하방180°～220°범위,광응30～40점.결과 술후수방6～15개월,10례안압균공제재＜21 mmHg(1 mmHg =0.133 kPa).최가교정시력제고자7례,불변자1례,불배합자1례,1례첩상체광응술중출현맥락막하폭발성출혈.결론 파리체절제연합안내경하첩상체광응치료난치성청광안시일충상대유효적방법.
Objective To evaluate the efficacy of endoscopic cyclophotocoagulation (ECP) combined with vitrectomy for refractory glaucoma.Methods Ten eyes of ten cases with refractory glaucoma were treated with ECP combined with vitrectomy.The scope of photocoagulation was 180°-220° with energy 0.5-0.8 W and setting time of laser 0.5-1 s.All cases were followed up for 6-15 months with observation on visual acuity,intraocular pressure (IOP) control,complications during and after surgery.Results The IOP of all cases were lower than 21 mmHg without any anti-glaucoma drug.The best corrected visual acuity was improved in 7 cases and no changed in 1 case,decreased in 1 case.The subchoroidal expulsive hemorrhage was observed during ECP in one eye.Conclusion ECP combined with vitrectomy in the treatment of refractory glaucoma is useful and safe.It improves the rate of surgery and preserves visual function,furthermore its complications are few.