摘要
目的探讨经平坦部玻璃体切除联合滤过手术治疗无晶状体或人工晶状体眼的青光眼的方法和疗效。方法对18例(18眼)无晶状体或人工晶状体眼的青光眼,进行上述手术治疗,术后观察视力、眼压、滤过泡形态、手术并发症等,随访6～12(平均7.3)mo。结果18眼中16眼(89%)术后视力维持不变或提高;最近一次随访,眼压在6～21mmHg者为14眼(78%),<6mmHg者1眼,>21mmHg者3眼。18眼中13眼(72%)形成滤过泡,5眼(28%)无明显滤过泡。术后前房少量积血2例,均在术后1wk内吸收,术后长期低眼压1例,此外无其它并发症发生。结论玻璃体切除联合滤过手术是治疗无晶状体或人工晶状体眼继发性青光眼的一种比较安全有效的方法,尤其适用于玻璃体脱入到前房的病例。
AIM: To study the technique and therapeutic effect of pas plana vitrectomy combined with filtering operation for treating glaucoma in aphakia or pseudophakia.· METHODS: The operation was performed on 18 eyes of 18 patients with aphakic or pseudophakic glaucoma. Visual acuity,IOP, bleb status and complications were observed during the follow-up of 6-12mo (mean 7.3mo).· RESULTS: The visual acuity of 16 eyes (89%) were unchanged or improved. During the follow-up, the latest IOP was 6-21mmHg in 14 eyes (78%), bellow 6mmHg in 1 eye and above 21mmHg in 3 eyes. The bleb were formed in 13 eyes (72%) and not formed in the other 5 eyes. After operation, slight hyphema was seen in 2 eyes, and was absorbed in 1wk after operation. One eye suffered lasting hypotony, and there were no other complications seen in these eyes.· CONCLUSION: Pas plana vitrectomy combined with filtering operation is relatively safe and effective to treat glaucoma in aphakia or pseudophakia, especially for eyes with vitreous prolapse.·
出处
《国际眼科杂志》
CAS
2004年第5期855-857,共3页
International Eye Science
