晚期青光眼局麻改进的小梁切除术68例临床观察  

Clinical observation of 68 cases of late glaucoma after trabeculectomy under improved local anesthesia

作　　者：胡丕清[1] 朱学春[1] 袁平[1] 张键[1] 孙立新[1] 

机构地区：[1]湖南省常德市第一人民医院眼科,湖南常德415003

出　　处：《中国现代医学杂志》2005年第13期2040-2041,2044,共3页China Journal of Modern Medicine

摘　　要：目的对晚期青光眼局麻改进和手术效果的观察。方法用2%利多卡因表麻加球结膜浸润麻醉下,对68例(76眼)晚期青光眼行小梁切除术,术中房水缓慢释放。结果所有手术病例麻醉满意,安全可靠,术后近期随诊观察,眼压控制理想,视力均稳定良好,且视力提高两行以上者6例(眼),视野扩大5°～10°者4例(眼)。结论青光眼局麻改进为一安全可靠而又满意的麻醉方法,加之术中手术方法注意得当,是青光眼手术的良好保障,特别是对晚期青光眼,二者则为行之有效的方法。[Objective] To improve the local anaesthesia method for late glaucoma, and to observe the postoperation effects. [Methods] 68 cases of late glaucoma receiving trabeculectomy were given 2% Lignocaine for topical and infiltration anaesthesia. The aqueous fluid was released slowly during operation. [Results] The effects of anesthesia were satisfactory. Following-up observation showed that the intraocular tensions were well controlled, the visual acuity was stable, and 6 cases(eyes) improved two lines, the visual field of 4 cases(eyes) improved 5°-10°. [Conclusions] The improved local anaesthesia and proper operative methods are safe and effective for glaucoma operations, especially for late glaucoma operations.

关 键 词：晚期青光眼 局部麻醉/手术 改进 

分 类 号：R775[医药卫生—眼科]