实用防盲技术
實用防盲技術
실용방맹기술
JOURNAL OF PRACTICAL PREVENTING BLIND
2015年
3期
107-110,112
,共5页
范洪雨%祁艳华%许利娟%郭志强
範洪雨%祁豔華%許利娟%郭誌彊
범홍우%기염화%허리연%곽지강
新生血管性青光眼%超全视网膜光凝%视网膜冷凝%巩膜池小梁切除术
新生血管性青光眼%超全視網膜光凝%視網膜冷凝%鞏膜池小樑切除術
신생혈관성청광안%초전시망막광응%시망막냉응%공막지소량절제술
Neovascular glaucoma%Extra-panretinal photocoagulation%Retinal cryocoagulation%Sclera pool trabeculectomy
目的：探讨中、晚期新生血管性青光眼的治疗方法及疗效。方法对中、晚期新生血管性青光眼29例（30眼），根据屈光间质情况分成光凝组和冷凝组，分别行超全视网膜光凝或全视网膜冷凝治疗，再结合行巩膜池小梁切除术，术后观察两组患者的视力、眼压、虹膜新生血管消退情况及并发症等。结果术后随访6-18个月，平均（10.2±3.65）月。术后所有患者眼痛、头痛症状消失。光凝组16例，17眼，术后14眼眼压控制在21mmHg（1mmHg=0.133kPa）以下，手术成功率82.4％，3眼需加用药物控制后眼压＜25mmHg，术后视力提高8眼（47.1％），15眼虹膜新生血管消退，2眼部分消退，残存数根干瘪的新生血管，冷凝组：13眼，术后10眼眼压控制在正常范围，手术成功率为76.7％，2眼需加用药物治疗，1例出现眼球萎缩。术后视力提高3眼（23.1%），11例虹膜新生血管完全消退，2例部分消退。结论超全视网膜光凝或冷凝结合巩膜池小梁切除术是治疗中、晚期新生血管性青光眼的有效方法，适于基层医院开展。
目的：探討中、晚期新生血管性青光眼的治療方法及療效。方法對中、晚期新生血管性青光眼29例（30眼），根據屈光間質情況分成光凝組和冷凝組，分彆行超全視網膜光凝或全視網膜冷凝治療，再結閤行鞏膜池小樑切除術，術後觀察兩組患者的視力、眼壓、虹膜新生血管消退情況及併髮癥等。結果術後隨訪6-18箇月，平均（10.2±3.65）月。術後所有患者眼痛、頭痛癥狀消失。光凝組16例，17眼，術後14眼眼壓控製在21mmHg（1mmHg=0.133kPa）以下，手術成功率82.4％，3眼需加用藥物控製後眼壓＜25mmHg，術後視力提高8眼（47.1％），15眼虹膜新生血管消退，2眼部分消退，殘存數根榦癟的新生血管，冷凝組：13眼，術後10眼眼壓控製在正常範圍，手術成功率為76.7％，2眼需加用藥物治療，1例齣現眼毬萎縮。術後視力提高3眼（23.1%），11例虹膜新生血管完全消退，2例部分消退。結論超全視網膜光凝或冷凝結閤鞏膜池小樑切除術是治療中、晚期新生血管性青光眼的有效方法，適于基層醫院開展。
목적：탐토중、만기신생혈관성청광안적치료방법급료효。방법대중、만기신생혈관성청광안29례（30안），근거굴광간질정황분성광응조화냉응조，분별행초전시망막광응혹전시망막냉응치료，재결합행공막지소량절제술，술후관찰량조환자적시력、안압、홍막신생혈관소퇴정황급병발증등。결과술후수방6-18개월，평균（10.2±3.65）월。술후소유환자안통、두통증상소실。광응조16례，17안，술후14안안압공제재21mmHg（1mmHg=0.133kPa）이하，수술성공솔82.4％，3안수가용약물공제후안압＜25mmHg，술후시력제고8안（47.1％），15안홍막신생혈관소퇴，2안부분소퇴，잔존수근간별적신생혈관，냉응조：13안，술후10안안압공제재정상범위，수술성공솔위76.7％，2안수가용약물치료，1례출현안구위축。술후시력제고3안（23.1%），11례홍막신생혈관완전소퇴，2례부분소퇴。결론초전시망막광응혹냉응결합공막지소량절제술시치료중、만기신생혈관성청광안적유효방법，괄우기층의원개전。
Objetive To explore the treatment and curative effect of neovascular glaucoma. Methods According to the situation of refractive media, 29 cases (30 eyes) of neovascular glaucoma were divided into photocoagulation group and cryocoagulation group. Extra-panretinal photocoagulation or retinal cryocoagulation was performed in the two groups separately, and then combined with trabeculectomy. The visual acuity, intraocular pressure, iris neovascularization fade and complications of the two groups were monitored after operation. Results After operation, patients were followed up from 6 to 18 months. All patients' sore eye and headache disappeared. In 17 eyes of photocoagulation group, 14 eyes' intraocular pressure were controlled below 21 mmHg (1mmHg = 0.133kPa), the success rate was 82.4%, 3 eyes' intraocular pressure were controlled below 25 mmHg combined with drug treatment; 8 eyes' visual acuity were improved(47.1%); 15 eyes' iris neovascularization faded away, 2 eyes' iris neovascularization faded partly. In 13 eyes of condensation group, 10 eyes' intraocular pressure were controlled in the normal range, the success rate was 76.7%, 2 eyes' intraocular pressure control need to combine with drug treatment, 1 eye result in eyeball atrophy; 3 eyes' visual acuity were improved(23.1%); 11 eyes' iris neovascularization faded away, 2 eyes' iris neovascularization faded partly. Conclusions Extra-panretinal photocoagulation or retinal cryocoagulation combined with trabeculectomy is effective in the treatment of neovascular glaucoma, and suitable for primary hospitals.
