摘要
新生血管性青光眼是一种从虹膜到前房角组织出现新生血管(rubeosis iridis)的继发性青光眼,其原因是多种多样的,常见者如:视网膜中央静脉阻塞、慢性葡萄膜炎、糖尿病性视网膜病变、慢性闭角型青光眼和恶性青光眼等。药物治疗只有短期的缓解作用,一般的滤过手术效果较差或无效。笔者从1987年9月～1989年9月采用角巩膜组织植入术治疗17例17眼,效果比较满意,报告如下。
From 1987 to 1989,the corneoscleral tissue implantation was performed on 17 neovascular glaucomas(17 eyes).The intraocular pressurewas controlled to below 2.73kPa(21mmHg)in 15 patients 15 eyes(88.9%).The operation is believed to be the better choics for treatment ofneovascular glaucoma.The postoperative follow-up time is 3-18 months.The operation method consists in implanting the tissue into theanterior chamber or superciliary cavity.The function of the corn-eoscleral tissue is to facilitate drainage of aqueous humor.The hyp-hema and inflammatory reaction are common postoperative complic-ations.Massage on the eyeball at early stage and application of cortico-steroid to part or the whole body of the patient can prevent scaringof the filtrating beb.
