改良小梁切除术治疗青光眼的临床分析  

Clinical analysis of modified trabeculectomy in treatment for glaucoma

作　　者：王桂琴[1] 胡晓东[1] 杨明迪[1] 彭秀军[1] 

机构地区：[1]海军总医院眼科,中国北京市100037

出　　处：《国际眼科杂志》2008年第2期394-395,共2页International Eye Science

摘　　要：目的:采用改良小梁切除术治疗青光眼并观察其临床效果。方法:施行改良小梁切除术18例21眼,术中应用抗代谢药物及可调节缝线,术后观察视力、眼压、前房及并发症。结果:出院时术后视力与术前视力无变化者6例8眼,提高者9例10眼,降低者3例3眼。Ⅰ°浅前房3例3眼,球结膜伤口渗漏4例4眼,经治疗恢复愈合。术后眼压失控者1例1眼,需再次手术。根据术后眼压高低及前房深浅,对可调节缝线进行拆除。部分患者术后视野略有改善。结论:改良小梁切除术术后并发症少,获得了较好的临床效果,但需长期随访。AIM： To investigate the clinical effect of modified trabeculectorny in the treatment for glaucoma. METHODS： A total of 21 eyes of 18 patients were performed modified trabeculectorny with anti-metabolism medicine and adjustable suture for scleral flap. Postoperative visual acuity, intraocular pressure （ IOP）, anterior chamber and complications were observed. RESULTS ： Postoperative visual acuity was of no change in 6 cases （8 eyes）, improved in 9 cases （10 eyes）, descended in 3 cases （3 eyes ）, compared with preoperative visual acuity. The complications included grade Ⅰ shallow anterior chamber in 3 cases （3 eyes） and bulbar conjunctival injury leaking in 4 cases （4 eyes）, which were cured by treatment. The postoperative IOP could not be controlled and the repeated surgery was needed in 1 case （1 eye）. The adjustable suture was removed according to the changes of IOP and the depth of anterior chamber postoperatively. The visual field was improved in some patients. CONCLUSION： The modified trabeculectomy got a better clinical effect, which induced much fewer postoperative complications. And long-term outcome of modified trabeculectomy should be followed up.

关 键 词：青光眼 改良小梁切除术 术后并发症 

分 类 号：R779.6[医药卫生—眼科]