摘要
目的:探讨非穿透小梁切除术联合小梁切开术治疗先天性青光眼的有效性和安全性。方法:对21例(37眼)先天性青光眼行非穿透小梁切除术联合小梁切开术。术后观察眼压、角膜横径、杯盘比值、滤过泡及并发症。病例随访12～24mo。结果:术前平均眼压28.5±6.5mmHg,最后一次随访时眼压15.2±5.5mmHg,两者差异有显著性(P<0.01),手术成功率94%(IOP<21mmHg)。术后28眼有功能性滤过泡,所有病例角膜横径和杯盘比值稳定,无浅前房,玻璃体脱出,虹膜粘连及眼内感染等并发症。结论:非穿透小梁切除联合小梁切开术是一种安全、有效的治疗先天性青光眼的方法。
AIM： To evaluate the clinical effects of combined tra- beculoctomy with non-perforating trabecular surgery （NPTS） for congentlal glaucoma.
METHODS： 21 patients （37 eyes） with congential glau- coma were treated with combined trabeculoctomy and NPTS. The mean follow-up was 12-24mo.
RESULTS： The mean preoperative IOP was 28.5± 6.5 mmHg, the mean postoperative IOP was 15.2 ±5.5 mmHg, the difference was significant （P〈0.01）.The success rate was 94% （IOP 〈21 mmHg）.There were functional blebs in 28 eyes, horizontal corneal diameter and C/D ratio in all patients didot extend alter the operation, The complications such as vitreous loss, fiat chamber, posterior synchia, endophthalmitis were not observed.
CONCLUSION： Combined trabeculoctomy and NPTS is a safe and effective surgery for congential glaucoma.
出处
《国际眼科杂志》
CAS
2006年第1期199-201,共3页
International Eye Science
关键词
青光眼
先天性
非穿透小梁切除术
小梁切开术
glaucoma
congenital
non perforating trabecular surgery
trabeculoctomy
