非穿透性小梁手术联合SKGEL胶植入术42例临床分析  

Non-penetrating trabecular surgery with SKGEL implantation for glaucoma in 42 cases

作　　者：赵春梅[1] 李琳[1] 景晓彬[1] 

机构地区：[1]中国唐山市眼科医院,063000

出　　处：《国际眼科杂志》2004年第5期848-850,共3页International Eye Science

摘　　要：目的观察非穿透性小梁手术联合SKGEL胶植入术治疗青光眼的临床疗效。方法对42例(64眼)青光眼患者施行非穿透性小梁手术联合SKGEL胶植入术。术后观察眼压、视力、滤过泡形态、并发症等,并做超声生物显微镜(UBM)观察。结果经3～18mo的随访,末次随访视力62眼(97%)维持不变或提高。眼压由术前平均(29.68±13.55)mmHg降至术后末次随访平均眼压(13.68±5.13)mmHg,有非常显著性差异(P<0.01),64眼术后均形成滤过泡,其中60眼为功能性。术中微穿孔5眼,虹膜嵌顿术口1眼,术后前房少量出血2眼,前房轻度变浅8眼,房水轻度闪辉3眼,后弹力层脱落1眼。术后2wkUBM检查见睫状体脱离37眼。结论非穿透性小梁手术联合SKGEL胶植入术能有效降低眼压,术后视力稳定,并发症少,值得临床应用推广。AIM: To evaluate the clinical results of non-penetrating trabecular surgery with SKGEL implantation for glaucoma.· METHODS: Non-penetrating trabecular surgery with SKGEL implantation was performed in 64 eyes of 42 patients with glaucoma. The postoperative intraocular pressure (IOP), intraocular reactions, bleb status and complications were recorded. The changes in ultrasound biomicroscopy (UBM) were analyzed.· RESULTS: The follow-up varied from 3 to 18mo. The postoperative vision of 62 eyes were unchanged or somewhat improved. IOP was decreased significantly (P < 0.01) after operation. Sixty-four eyes had blebs, in which 60 eyes had functional blebs. During operation, small puncture occurred in 5 eyes and iris prolapes in 1 eye. After operation, slight hyphema was seen in 2 eyes, flat chamber in 8 eyes, aqueous flare in 3 eyes and detachment of lamina clastica posterior in 1 eye. UBM showed ciliary body detachment in 37 eyes at 2wk after surgery.· CONCLUSION: Non-penetrating trabecular surgery with SKGEL implantation is safe, effective and worthy to be applied in clinic.·

关 键 词：植入术 非穿透性小梁手术 联合 并发症 术后 随访 滤过泡 显著性差异 

分 类 号：R779.6[医药卫生—眼科]