CAJ | 학술논문

目的探讨采取小梁切除联合羊膜植片、虹膜段切除、晶体超乳吸出术治疗新生血管性青光眼的治疗效果.方法回顾性研究20例20只眼新生血管性青光眼,随机分组:实验组10眼行四联手术:对照组10眼行单纯滤过术.常规上方巩膜瓣、小梁切除、上方虹膜节段切除、巩膜瓣下垫压羊膜(商品)、结节缝合巩膜瓣;另采用透明角膜缘切口行超声乳化吸出白内障.手术前测眼压,行前节荧光素造影,统计分析眼压走势、新生血管变化、滤过泡状态.随访3-6个月.结果实验组术眼手术后眼压均低于20mmHg,对照组仅一例1只眼滤过正常,眼压低于20mmHg.四联手术后眼压得到控制,反应轻微,滤过泡形成良好,虹膜新生血管大多消褪,全部眼球得以保留,其中2例保持0.1视力,1例0.2视力.结论四联手术治疗新生血管性青光眼不失为一种有效的可行方法.
목적 탐토채취소량절제연합양막식편、홍막단절제、정체초유흡출술치료신생혈관성청광안적치료효과.방법 회고성연구20례20지안신생혈관성청광안,수궤분조:실험조10안행사련수술:대조조10안행단순려과술.상규상방공막판、소량절제、상방홍막절단절제、공막판하점압양막(상품)、결절봉합공막판;령채용투명각막연절구행초성유화흡출백내장.수술전측안압,행전절형광소조영,통계분석안압주세、신생혈관변화、려과포상태.수방3-6개월.결과 실험조술안수술후안압균저우20mmHg,대조조부일례1지안려과정상,안압저우20mmHg.사련수술후안압득도공제,반응경미,려과포형성량호,홍막신생혈관대다소퇴,전부안구득이보류,기중2례보지0.1시력,1례0.2시력.결론 사련수술치료신생혈관성청광안불실위일충유효적가행방법.
Objeetive To observe and evaluatethe clinical effect of the four types of joint surgery for neovascular glaucoma.Methods Retrospectively study.Twenty eyes of neovasvular glaucoma were divided into 2 groups randomly,10 eyes for each group.Experimental group received all four surgery of trabeculectomy,cataract surgery,partial iridectomy and amniotic membrane filling;while control group only received trabeculectomy.Results Follow-up 3-6 months.In the experimental group.intraocular pressure lowed than 20mmHg in all the eyes,however,control group only one eye's intraocular pressure lowed than 20mmHg.Conclusions The four type of joint surgery are effective treatment methods for neovascular glaucoma.