青光眼睫状体炎综合征的手术疗效观察  

The effect of non-penetrating trabecular surgery in the management of Posner-schlossman syndrome

作　　者：柯秀峰[1] 朱丹宁[1] 袁鹂[1] 

机构地区：[1]南京医科大学第二附属医院眼科,南京210011

出　　处：《中国实用眼科杂志》2007年第6期642-643,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨非穿透性小梁手术治疗有青光眼性视神经损害的青光眼睫状体炎综合征的疗效。方法 对8例（8只眼）出现青光眼性视神经损害的青光眼睫状体炎综合征患者行非穿透性小梁手术。术后观察并发症和睫状体炎复发情况，检查视力、眼压、眼底和视野。术后随访12．0～48．0个月，平均（34．42±7．04）个月。结果 7只眼术后眼压维持在10～20mmHg之间，眼压控制成功率为87．50％。术后6只眼无睫状体炎复发，睫状体炎控制率为75．00％。眼压控制良好的7只眼，术后视力、视野和C／D比值与术前相同。无浅前房，脉络膜脱离，眼内炎等并发症。结论 非穿透性小梁手术能有效地降低眼压和控制睫状体炎的复发，防止青光眼性视神经损害进一步加重，且术后无严重并发症，是治疗出现青光眼性视神经损害的青光眼睫状体炎综合征的有效方法。Objective To evaluate the clinical results of non-penetrating trabecular surgery in Posnerschlossman syndrome with visual field and optic disc change consistent with glaucoma. Methods Non- penetrating trabecular surgery were performed on 8 eyes of 8 patients with Posner-schlossman syndrome with visual field and optic disc change. The postoperative intraocular pressure （IOP）, episodes of iritis, complications, visual field and optic disc change were recorded. The postoperative follow-up ranged from 12 to 48 months （mean, 34.42±7.04 months）. Results Postoperatively, IOP in seven eyes varied from 10 mmHg to 20mmHg, the control rate of IOP was 87.50%. Two eyes continued to have episodes of iritis, the control rate of iritis was 75.00%. The visual acuity, visual field and optic disc in seven eyes with normal IOP unchanged, postoperatively. The complications such as fiat chamber, choroidal detachment and endophthalmitis were not observed. Con- clusions Non-penetrating trabecular surgery for Posner-schlossman syndrome with visual field and optic disc change consistent with glaucoma is a effective surgery.

关 键 词：青光眼睫状体炎综合征 非穿透性小梁手术 

分 类 号：R775[医药卫生—眼科]