摘要
目的为了提高青光眼手术的成功率，将小梁切除术加以改进，即小梁切除联合周边虹膜嵌顿术（ＴＩ二联术）。方法８７例１０３只眼行ＴＩ二联术，对照组小梁切除术１６３例１６８只眼，观察比较术后眼压、视力。结果闭角型青光眼ＴＩ二联术手术成功率为９６．５５％，小梁切除术成功率８５．２７％，有显著差异。对于开角型青光眼，两种手术方法的成功率均为７５％～７６％。结论原发性闭角型青光眼ＴＩ二联术手术成功率明显高于小梁切除术，但对于原发性开角型青光眼，两种术式成功率相似。
ObjectiveTrabeculectomy combined with peripheral iridencleisis(TI) were designed in attempt to increase the efficiency of the operation.MethodsTI operations were performed on 87 cases (103 eyes) with primary glaucoma (including 87 eyes with primary angleclosure glaucoma and 16 eyes with primary openangle glaucoma) compared with ordinary trabeculectomy (163 cases,168 eyes,including 129 eyes with primary angleclosure glaucoma and 39 eyes with primary openangle glaucoma).Postoperative intraocular pressure (IOP) and visual acuities were compared.ResultsAll patients were followedup for 3 mon to 7 a.No drug was used after operation.In the TI operation group (103 eyes),postoperative IOPs of 96 eyes was not higher than 2.8 kPa,including 84 eyes with primary angleclosure glaucoma.The successful rate of TI was 96.55% on patients with primary angleclosure glaucoma,which was apparently better than trabeculectomy(85.27%).In ordinary trabeculectomy group of 168 eyes,postoperative IOPs of 140 eyes were not higher than 2.8 kPa,including 110 eyes primary angleclosure glaucoma.The successful rate was 85.27%.The successful rates of the two operations on primary angleclosure glaucoma were significantly different(P<0.05).In primary openangle glaucoma,the successful rates of the two operations(75% of TI vs 76.92% of trabeculectomy) were not significantly different (P>0.05).ConclusionThe successful rate of TI on patients with primary angleclosure glaucoma was apparently higher than the successful rate of trabeculectomy.But on the patients with primary openangle glaucoma,the successful rates of these two kinds of operations were the same(75%～76%).
出处
《眼科研究》
CSCD
1997年第4期264-265,共2页
Chinese Ophthalmic Research
关键词
TI二联术
闭角型青光眼
青光眼
rabeculectomy combined with iridencleisis angleclosure glaucoma
