原发性闭角型青光眼持续高眼压状态下的手术治疗  

Surgical treatment for the primary angle-closure glaucoma with continuous high intraocular pressure

作　　者：陈世云[1] 王正艳[1] 梁荣莉 郑永军[1] 杨红云[1] 

机构地区：[1]山东省新泰市人民医院眼科,新泰271200

出　　处：《中国眼耳鼻喉科杂志》2008年第3期170-171,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的研究闭角型青光眼持续高眼压状态下小梁切除术的临床效果。方法对52例（57眼）眼压控制不良的闭角型青光眼进行了联合前房穿刺的小梁切除术。术后1周、1个月、6个月、1年时，观察患者的视力和眼压情况。结果所有病例术中无脉络膜爆发性出血、恶性青光眼等并发症发生。术后1年，视力低于0．1者17眼，0．1—0．3者20眼，大于0．3者20眼。眼压控制在10-21mmHg（1mmHg=0．133kPa）者50眼，需要加用局部降眼压药才能控制眼压者7眼，手术成功率87．7％。结论持续高眼压状态下的闭角型青光眼进行联合前房穿刺的小梁切除术是安全有效的。Objective To evaluate the clinical effect of trabeculectomy for primary angle-closure glaucoma with continuous high intraocular pressure（IOP）. Methods Trabeculectomy with anterior chamber puncture was performed on 52 cases （57eyes） with angle-closure glaucoma under high lOP, The visual acuities and lOPs were observed from one week to one year postoperation. Results There were no complications of epiehoroidal hemorrhage or malignant glaucoma happened in all cases after trabeculectomy. The vision acuity 12 months after operation was less than 0. 1 in 17 eyes,0. 1-0.3 in 20 eyes and more than 0.3 in 20 eyes. The postoperative IOP was 10 -21 mm Hg in 50 eyes. Seven eyes needed additional medical treatment. The successful rate was 87.7%. Conclusions Trabeculectomy with anterior chamber puncture is safe and effective for the treatment of primary angle-closure glaucoma with continuous high IOP.

关 键 词：小梁切除术 前房穿刺 青光眼 高眼压 

分 类 号：R779.6[医药卫生—眼科]