全视网膜冷凝联合复合式小梁切除治疗新生血管性青光眼的临床观察  

Clinical observation of panretinal photocoagulation combined with improved trabeculectomy in neovascular glaucoma

作　　者：张海江[1] 霍鸣[1] 靳鹍[1] 罗彤[1] 吴昊[1] 董洁玉[1] 

机构地区：[1]宜昌市中心人民医院眼科,湖北443003

出　　处：《中国实用眼科杂志》2008年第8期820-822,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨晚期新生血管性青光眼的治疗方法及疗效。方法回顾2005年7月至2007年8月，对收住晚期新生血管性青光眼患者24例24只眼，均行全视网膜冷凝联合复合式小梁切除术（术中应用丝裂霉素），观察术后眼压、视力、虹膜新生血管消退情况及并发症等。结果对所有病例术后随访1~20月，其中有20例患者眼压在20mmHg以下；21例患者术后视力均有所提高或保持不变；18例患者虹膜新生血管不同程度地消退；术后均有不同程度地前房出血，但治疗后都能完全吸收；未见1例眼球萎缩。结论全视网膜冷凝联合复合式小梁切除治疗晚期新生血管性青光眼确实可行有效，且费用较低，患者能够承受，在基层医院深受欢迎。Objective To observe the effect of neovascular glaucoma treated by panretinal photocoagulation combined with improved trabeculectomy with mitomycin C. Methods 24 cases of late neovaseular glaucoma were performed panretinal photocoagulation and improved trabeculectomy with rnitomyein C. The intraocular pressure, visual acuities, neovasularization of the iris and compilcations were observed after operation. Results With following-up ranged from 1 month to twenty months, 20 eyes＇s postoperative intraocular pressure were lower than 20mmHg; 21 eye＇s visual acuities were improved or remained; the iris neovasularization of 18 eye＇s were vanished; Its complication mainly was anterior chamber hyphema, but it always revived; there was no atrophy of eyeball. Conclusions The treatment for late neovaseular glaucoma by this way is safe and effective. Moreover, the operation is cheap and easy to be accepted by some basic hospital.

关 键 词：新生血管性青光眼 全视网膜冷凝 小梁切除 丝裂霉素C 

分 类 号：R775[医药卫生—眼科] R774.1[医药卫生—临床医学]