摘要
目的评价小切口小梁切除术(MTG)和传统经结膜切口小梁切除术(CTG)在原发性开角型青光眼(POAG)手术中的长期结果。方法前瞻、随机、对照临床试验,将40例患者确诊为原发性开角型青光眼的46眼随机分为CTG组和MTG组(1∶1),每组在术中联合使用0.4g/L丝裂霉素C5min。入选当天记录患者的视力、眼压(IOP)以及视野。术后1,7d,1,2,6mo,1,2a分别记录患者的IOP、视力、滤过泡;术后6mo,1,2a检查患者的视野。结果在MTG中的23眼,术后视力、IOP(低于18或15mmHg,0.01<P<0.05)以及滤过泡与CTG中的23眼有明显差异(P<0.01)。结论MTG在目前POAG治疗中是一个较好的选择。
AIM: To evaluate the long-term results of small-incision trabeculectomy applied in primary open angle glaucoma (POAG) surgery compared with results of the conventional trabeculectomy through conjunctival incision.· METHODS: In this prospective, randomized and controlled study, a total of 46 eyes of 40 patients diagnosed with POAG were randomly devided (1:1) into a conventional trabeculectomy through conjunctival incision group (CTG) and a small-incision trabeculectomy group (STG), and mitomycin-c (MMC) 0.4g/L was used for 5min during surgery in each group. Visual acuity, intraocular pressure (IOP) and visual field of subjects were recorded on the day of enrollment. After surgery, IOP, visual acuity and filtering bleb were recorded on 1d, 1wk, 1, 2, 6mo, 1 and 2a.· RESULTS: In the 23 eyes in MTG, postoperative visual acuity, visual field, IOP (less than 18 or 15 mmHg, 0.01<P <0.05) and filtering bleb had a significant difference with those in CTG (P <0.01). · CONCLUSION: Small-incision trabeculectomy is a good choice of therapeutic procedure in POAG surgery at present.·
出处
《国际眼科杂志》
CAS
2004年第5期792-795,共4页
International Eye Science
关键词
患者
手术中
小切口
IOP
小梁切除术
滤过泡
POAG
glaucoma
small-incision
trabeculectomy
Tenon's capsule
filtering bleb
mitomycin-c
