摘要
目的探讨外路Schlemm管切开联合小梁切除术治疗先天性青光眼的疗效。方法由Schlemm管断端插入切开刀行140°切开;小梁切除包括Schlemm管,大小为1 mm×3 mm,并行周边虹膜切除术。对16例(28眼)先天性青光眼进行手术和观察,其中14例24眼随访8月至2年。结果术后患者症状消失;与术前相比,角膜横径及杯/盘比均未扩大。≥2岁者眼压控制在(14.80±3.30)mmHg;>2岁者眼压控制在(16.68±3.7)mmHg(1 mmHg≈0.133 kPa),均较术前为低(P<0.01)。术后功能型滤泡占89.28%(24眼)。随访眼压控制良好。结论外路Schlemm管切开联合小梁切除术是一种安全有效的治疗先天性青光眼的方法。
Objective To assess the outcome of trabeculotomytrabeculectomy for congenital glaucoma. Methods The 16 cases （28eyes） of congenital glaucoma were treated with combined trabeculotomy-trabeculectomy. 24 eyes of these patients were followed up from 8 months to 2 years. Results After operation, symptoms disappeared in all patients. Compared with preoperation, C/D ratio and the corneal diameter of patients was no longer extended. The intraocular pressure was controlled at level of （ 14.80±3.30） and （ 16.68 ± 3.71 ） mmHg （ P 〈 0.01 ） in the patients of 2 years old or yonger 2 and older than 2 years old. Conclusion The combined procedure may have a high success rate and have certain value in clinical application.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第2期119-121,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
青光眼
先天性
小梁手术
congenital glaucoma
trabeculotomy-trabeculectomy
