生物羊膜移植联合小梁切除术用于青光眼再手术的疗效观察  

Biological amnion transplantation combin-ed with trabeculectomy for re-operation of glaucoma

作　　者：高桂军[1] 王辉[1] 

机构地区：[1]中国辽宁省沈阳市第四人民医院眼科,110031

出　　处：《国际眼科杂志》2008年第1期156-157,共2页International Eye Science

摘　　要：目的:观察生物羊膜在青光眼再手术中应用的效果和安全性。方法:对31例(33眼)青光眼再手术病例施行小梁切除联合羊膜移植术,术后随访1a,检查记录术后视力、滤过泡、前房深度、眼压及术后并发症。结果:随访期间眼压由术前的(33.18±5.7)mmHg降至术后的(15.23±3.3)mmHg,比术前明显降低(P<0.05);术后1a眼压控制率为94%(31/33),保持功能性滤过泡27眼(82%);并发症主要为低眼压(6眼)和浅前房(4眼)。结论:生物羊膜移植联合小梁切除术可减少滤过道瘢痕形成,显著提高手术成功率,用于青光眼再手术安全有效。AIM： To observe the effect and security of biological amnion used in the re-operation of glaucoma. METHODS： Trabeculectomy combined with biological amnion transplantation were performed in 31 cases （33 eyes） who underwent re-operation of glaucoma. After the operation patients were followed up for one year. The visual acuity, filtering blebs, anterior chamber depth, intraocular pressure （IOP） and complications were examined and recorded. RESULTS： During the period of follow-up, lOP fell from preoperative （33.18± 5.7）mmHg down to postoperative （15.23 ± 3.3）mmHg, and there was statistically significant difference （P〈0.05）. At one year after the operation, those whose lOP was controlled occupied 94% （31/33） ; 27 eyes （82%） maintained functional filtering blebs. Main complications were ocular hypotension （6 eyes） and shallow anterior chamber （4 eyes）.CONCLUSION： Biological amnion transplantation combined with trabeculectomy can reduce scar formation, and improve the success rate remarkably. It is safe and effective to be used in the re-operation of glaucoma.

关 键 词：生物羊膜移植 小梁切除术 青光眼 

分 类 号：R779.6[医药卫生—眼科]