39例新生血管性青光眼联合治疗疗效分析  

STUDY ON COMBINED TREATMENT OF 39 CASES WITH NEOVASCULAR GLAUCOMA

作　　者：李克宁[1] 李冬育 陈芳[2] 董明霞[2] 王杰[2] 贺忠江[3] 

机构地区：[1]华北煤炭医学院成人教育学院,063000 [2]河北省唐山市眼科医院 [3]天津医科大学总医院眼科

出　　处：《现代预防医学》2009年第21期4196-4197,4200,共3页Modern Preventive Medicine

摘　　要：[目的]观察采用全视网膜光凝术联合小梁切除术、MMC、视网膜周边冷冻术联合睫状体光凝术以及单纯睫状体光凝术3种方法对糖尿病视网膜病变引起的新生血管性青光眼(NVG)的临床疗效。[方法]39例39眼药物不能控制的NVG按病人屈光间质情况及病人体质状况,分别采用全视网膜光凝联合小梁切除术联合MMC9眼,采用视网膜周边冷冻术联合睫状体光凝术20眼,采用单纯睫状体光凝术10眼。随访并比较了术后10个月的眼压、视力、虹膜新生血管改变。[结果]3组病人术后10个月眼压均控制正常,无眼痛症状,无视力下降。第1组病人虹膜新生血管全部消退,第2组病人9例完全消退,11例虹膜表面及前房角新生血管部分消退或变细。第3组病人虹膜新生血管均未消退。[结论]3种不同的方法治疗新生血管性青光眼均可有效降低眼压,可以针对不同的病人选择不同的方法。[Objective] To observe the clinical results of combined treatment for neovascular glaucoma. [ Methods] 39 Cases （39 eyes） were treated according to situations of patients＇ refracting media and physique, 9 cases （9 eyes） were treated by retinal photocoagulation combined with Trabeculectomy and MMC; 20 cases （20 eyes） were treated by cyelophotocoaguladon combined with retinal eryotherapy; 10 cases （10 eyes） were treated by cyclophotocoagulation. [ Results] IOP were controlled at lower than 21mmHg in all cases. Iris neovessels disappeared in 18 cases and regressed partly in 21 cases. Visual acuity increased in 2 eyes and remained unchanged in 37 eyes. [Conclusion] The combined treatment for neovascular glaucoma can reduce IOP timely as well as reduce retina ischemia, so effectively rescue the visual acuity.

关 键 词：视网膜光凝 视网膜冷凝 睫状体光凝 小梁切除术 新生血管性青光眼 

分 类 号：R775[医药卫生—眼科]