摘要
目的探讨持续高眼压下行复合式小梁切除术治疗原发性急性闭角型青光眼的手术特点及治疗效果。方法对30例（30只眼）眼压控制不良的原发性急性闭角型青光眼患者行复合式小梁切除术。结果30只眼手术均顺利完成，未出现爆发性脉络膜上腔出血、玻璃体脱出等严重的并发症。术后2～12月，30只眼中24只眼眼压控制在10-21mmHg，5只眼加用降眼压药物眼压控制正常；20只眼视力较术前有所提高。结论对持续高眼压下用药治疗不理想的原发性急性闭角型青光眼，应果断行手术治疗，以防视功能进一步受损，只要术前考虑全面，术中精心操作，术后周全护理，持续高眼压状态下行复合式小梁切除术是安全、有效的。
Objective To evaluate the points and effects of the compound trabeculectomy in primary acute angle-closure glaucoma with persistent high intraocular pressure （ IOP ）. Methods 30 eyes of uncontrolled acute angle-closure glaucoma were treated by compound trabeculectomy. Results The operation of 30 eyes was successful. In the follow-up of 2 - 12 months, the 10P was less than 21 mmHg in 24 eyes without any antiglaucoma-drug and in 5 eyes with lower IOP drugs. The visions of 20 eyes were raised. Condusion Once the IOP cannot be controlled, surgical treatment should be undertaken at once. To keep the visual function from more damage, it is necessary and safe and effective to perform the compound trabeculectomy on acute angle-closure glaucoma with persistent high lOP under careful preparing and operating and post-operation nursing.
出处
《临床眼科杂志》
2008年第3期228-230,共3页
Journal of Clinical Ophthalmology
关键词
原发性闭角型青光眼
高眼压
小梁切除术
Acute angle-closure glaucoma
Trabeculectomy
High intraocular pressure
