医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2015年
4期
102-103
,共2页
青光眼%管状视野%MD
青光眼%管狀視野%MD
청광안%관상시야%MD
glaucoma%tubular visual field%MD
目的：观察管状视野的晚期青光眼患者术后视野与术后眼压的关系。方法我们对收治的32例（44眼）患者根据不同的术后眼压值分为3组，A 组：15眼，眼压高于18 mmHg；B 组：15眼，眼压介于18～12 mmHg 之间；C 组：14眼，眼压介于12～5 mmHg 之内。比较三组受试者的视力、MD 值及术后满意度。结果 A 组患者手术前后视野平均缺损（MD）仍有下降，差异有显著性意义，说明术后眼压在18 mmHg 以上视野仍会继续缺失。B 组中患者手术前后视野平均缺损（MD）有所提升，但无显著性意义，说明降低眼压对部分青光眼患者可以减缓视野的恶化和青光眼进展。C 组中患者手术前后视野平均缺损（MD）有明显回升，且差异有显著性意义，说明术后将眼压控制在12～5 mmHg 之内对改善晚期青光眼患者术后视野有明显作用。结论晚期青光眼患者最好将眼压控制在12～5 mmHg 之内，对晚期青光眼患者的视野变化有指导性作用。
目的：觀察管狀視野的晚期青光眼患者術後視野與術後眼壓的關繫。方法我們對收治的32例（44眼）患者根據不同的術後眼壓值分為3組，A 組：15眼，眼壓高于18 mmHg；B 組：15眼，眼壓介于18～12 mmHg 之間；C 組：14眼，眼壓介于12～5 mmHg 之內。比較三組受試者的視力、MD 值及術後滿意度。結果 A 組患者手術前後視野平均缺損（MD）仍有下降，差異有顯著性意義，說明術後眼壓在18 mmHg 以上視野仍會繼續缺失。B 組中患者手術前後視野平均缺損（MD）有所提升，但無顯著性意義，說明降低眼壓對部分青光眼患者可以減緩視野的噁化和青光眼進展。C 組中患者手術前後視野平均缺損（MD）有明顯迴升，且差異有顯著性意義，說明術後將眼壓控製在12～5 mmHg 之內對改善晚期青光眼患者術後視野有明顯作用。結論晚期青光眼患者最好將眼壓控製在12～5 mmHg 之內，對晚期青光眼患者的視野變化有指導性作用。
목적：관찰관상시야적만기청광안환자술후시야여술후안압적관계。방법아문대수치적32례（44안）환자근거불동적술후안압치분위3조，A 조：15안，안압고우18 mmHg；B 조：15안，안압개우18～12 mmHg 지간；C 조：14안，안압개우12～5 mmHg 지내。비교삼조수시자적시력、MD 치급술후만의도。결과 A 조환자수술전후시야평균결손（MD）잉유하강，차이유현저성의의，설명술후안압재18 mmHg 이상시야잉회계속결실。B 조중환자수술전후시야평균결손（MD）유소제승，단무현저성의의，설명강저안압대부분청광안환자가이감완시야적악화화청광안진전。C 조중환자수술전후시야평균결손（MD）유명현회승，차차이유현저성의의，설명술후장안압공제재12～5 mmHg 지내대개선만기청광안환자술후시야유명현작용。결론만기청광안환자최호장안압공제재12～5 mmHg 지내，대만기청광안환자적시야변화유지도성작용。
Department of Ophthalmology,the Second Af iliated Hospital of Jilin University,Changchun 130000 China)Objectives To observe the relation of postoperation visual field and postoperation IOP of advanced glaucoma with tubular visual field.Methods 32 patients (44 eyes)were divided into three groups by postoperation IOP.Group A:15 eyes,postoperationIOPgt;18 mmHg,group B:15 eyes,postoperation IOP is between 18 mmHg and 12 mmHg,group C:14 eyes,postoperation IOP is between 12 mmHg and 5 mmHg.The vision,MD and postop-erative satisfaction among three groups of subjects were compared.Results Group A:the MD of postoperation descend,and the discrepancy is statistical y significant,which means visual field is stil decreasing even if postoperation IOP gt;18 mmHg,group B:the MD of postoperation is lightly promoting,and the discrepancy is not statistical y significant,which means the depression of postoperation IOP is partly helpful to the aggravation of visual field and development of advanced glaucoma,group C:the MD of postoperation is obviously promoting,and the discrepancy is statis-tical y significant,which means control ing the postoperation IOP within 12 ~5 mmHg can obviously promote the visual field of advanced glaucoma.Conclusions We should control the postopera-tion IOP of advanced glaucoma within 12 ~5 mmHg,and testing visual field regularly is instructive to monitoring the variation of visual field of advanced glaucoma.
