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
4期
280-282
,共3页
小梁切除术,复合式%再手术%青光眼
小樑切除術,複閤式%再手術%青光眼
소량절제술,복합식%재수술%청광안
Trabeculectomy,compound%Operation,repeat%Glaucoma
目的 评价青光眼小梁切除术后眼压再次升高者行复合式小梁切除术的疗效观察.方法 对22例(25眼)曾行小梁切除术后眼压再次升高者行小梁切除联合羊膜移植和巩膜瓣可调节缝线术.术后1d、1周、1个月、3个月、6个月、12个月随访,观察视力、眼压、前房深度、滤过泡以及并发症.结果 术后1d眼压(8.08±1.85) mmHg(1 mmHg=0.133 kPa),眼压显著低于术前的(31.92±6.74) mmHg,有3眼出现低眼压、浅前房,经治疗后恢复.术后1周、1个月、3个月、6个月、12个月平均眼压分别为(11.68 ±3.47)、(17.88 ±3.41)、(19.12 ±2.62)、(20.32 ±3.16)、(19.16±1.31)mmHg,与术前平均眼压的差异有统计学意义(P＜0.001).至随访结束,10眼视力提高,另15眼视力维持不变.随访期间所有病例均未出现滤过泡渗漏、结膜漏水或其他严重并发症.结论 再次手术施行复合式小梁切除术,能有效降低眼压,保留功能型滤过泡,且并发症少,治疗复发性青光眼患者是安全有效的.
目的 評價青光眼小樑切除術後眼壓再次升高者行複閤式小樑切除術的療效觀察.方法 對22例(25眼)曾行小樑切除術後眼壓再次升高者行小樑切除聯閤羊膜移植和鞏膜瓣可調節縫線術.術後1d、1週、1箇月、3箇月、6箇月、12箇月隨訪,觀察視力、眼壓、前房深度、濾過泡以及併髮癥.結果 術後1d眼壓(8.08±1.85) mmHg(1 mmHg=0.133 kPa),眼壓顯著低于術前的(31.92±6.74) mmHg,有3眼齣現低眼壓、淺前房,經治療後恢複.術後1週、1箇月、3箇月、6箇月、12箇月平均眼壓分彆為(11.68 ±3.47)、(17.88 ±3.41)、(19.12 ±2.62)、(20.32 ±3.16)、(19.16±1.31)mmHg,與術前平均眼壓的差異有統計學意義(P＜0.001).至隨訪結束,10眼視力提高,另15眼視力維持不變.隨訪期間所有病例均未齣現濾過泡滲漏、結膜漏水或其他嚴重併髮癥.結論 再次手術施行複閤式小樑切除術,能有效降低眼壓,保留功能型濾過泡,且併髮癥少,治療複髮性青光眼患者是安全有效的.
목적 평개청광안소량절제술후안압재차승고자행복합식소량절제술적료효관찰.방법 대22례(25안)증행소량절제술후안압재차승고자행소량절제연합양막이식화공막판가조절봉선술.술후1d、1주、1개월、3개월、6개월、12개월수방,관찰시력、안압、전방심도、려과포이급병발증.결과 술후1d안압(8.08±1.85) mmHg(1 mmHg=0.133 kPa),안압현저저우술전적(31.92±6.74) mmHg,유3안출현저안압、천전방,경치료후회복.술후1주、1개월、3개월、6개월、12개월평균안압분별위(11.68 ±3.47)、(17.88 ±3.41)、(19.12 ±2.62)、(20.32 ±3.16)、(19.16±1.31)mmHg,여술전평균안압적차이유통계학의의(P＜0.001).지수방결속,10안시력제고,령15안시력유지불변.수방기간소유병례균미출현려과포삼루、결막루수혹기타엄중병발증.결론 재차수술시행복합식소량절제술,능유효강저안압,보류공능형려과포,차병발증소,치료복발성청광안환자시안전유효적.
Objective To evaluate the clinical efficacy of reoperation in patients who had undergone previously failed trabeculectomy surgery.Methods Twenty five eyes of twenty two patients underwent trabeculectomy augmented with amniotic membrane transplantation and scleral adjustable suture following a previously failed trabeculectomy.The visual acuities,intraocular pressure (IOP),anterior chamber depth,filtering bleb and complications were recorded at 1 day,1 week,and 1,3,6 and 12 months after surgery.Results At day 1,the average IOP was (8.08 ± 1.85) mmHg(1 mmHg =0.133 kPa),which was significant lower than the preoperative level.There were 3 eyes complicated with ocular hypotension and shallow anterior chamber,which recovered after treatment.The average IOP was (11.68 ± 3.47),(17.88 ± 3.41),(19.12 ±2.62),(20.32 ± 3.16),(19.16 ± 1.31) mmHg at 1 week,1,3,6 and 12 months after surgery,which was significant different from the preoperative level (P ＜ 0.001).The visual acuities were improved in 10 eyes and no change in 15 eyes at the end of follow-up.No filtering bleb leakage or other complication was noted.Conclusion Repeat trabeculectomy following a previously failed trabeculectomy is safe and effective which can control IOP with few complications.
