持续高眼压下行复合式小梁切除术的临床观察  

Clinical observation of the compound trabeculectomy performed in glaucoma with persistently high intraocular pressure

作　　者：康建芳[1] 徐岬[1] 冯军[1] 

机构地区：[1]淮安市第二人民医院眼科,江苏淮安223002

出　　处：《眼外伤职业眼病杂志》2010年第2期149-151,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨持续性高眼压状态下行复合式小梁切除术的安全性、可行性及疗效。方法对36例(40眼)眼压控制不良的青光眼进行了前、后房穿刺联合复合式小梁切除术。术后观察视力、眼压、前房深度,以及前房积血等并发症的情况。结果所有病例手术过程顺利,无出现脉络膜下爆发性出血者。术后1月视力较术前提高者21眼,占52.50%;视力不变14眼,占35.00%;视力下降5眼,占12.50%。术后33眼眼压控制理想,占82.50%,7眼眼压超过21 mmHg,经药物治疗、局部按摩及早期拆除可调整缝线,术后1月内此7眼中有6眼眼压降至正常。结论对持续高眼压状态的青光眼采用前、后房穿刺联合复合式小梁切除术是安全有效的。Objective To explore the safety, feasibility and effect of the compound trabeculeetomy performed in glaucoma with persistently high intmocular pressure. Methods 36 cases （40 eyes） of glaucoma uncontroled for high intraocular pressure were treated by goniopuncture and posterior chamber puncture combining with the compound trabeculectomy. Visual acuity, intraocular pressure, the deepness of anterior chamber and complications such as hyphema were observed after operation. Results The operation in all cases were successful and no case occurred the fulminant hemorrhage in epichoroidal space. The visual acuity in a month after operation improved obviously in 2l eyes （ 52.5% ） , remained unchanged in 14 eyes （35 %） and decreased in5 eyes （12.5 %） contrasted to that before operation. There were 33 eyes （82.5%） in which the intraocular pressure was controled successfully. Six out of seven eyes with intraocular pressure over 21 mmHg were controled in a month after operation by drugs ,local knead and early sutures out. Conclusion Compound trabeculectomy is a safe and elective surgery for the uncontroled glaucoma with persistently high intraocular pressure.

关 键 词：高眼压 青光眼 小梁切除术 复合式 

分 类 号：R779.6[医药卫生—眼科]