睫状体联合前部视网膜冷凝术治疗难治性青光眼  

Ciliary body combined with anterior retinal cryocoagulation for refractory glaucoma

作　　者：和寅放[1] 

机构地区：[1]河南省新乡市第一人民医院眼科,453000

出　　处：《眼科新进展》2010年第12期1177-1178,共2页Recent Advances in Ophthalmology

摘　　要：目的探讨睫状体联合前部视网膜冷凝术治疗难治性青光眼的临床疗效。方法回顾性分析57例(57眼)难治性青光眼患者使用睫状体联合前部视网膜冷凝术治疗的临床资料,对术后眼压、疼痛感、并发症等情况进行分析。结果术前平均眼压为(50.90±11.30)mmHg(1kPa=7.5mmHg),术后随访最后1次平均眼压为(16.30±10.70)mmHg,经配对资料t检验,t=14.90、P<0.01,差异有统计学意义。术后50眼(96.20%)疼痛明显缓解或消失,18眼(31.58%)出现角膜混浊、水肿,13眼(22.81%)出现前房渗出,8眼(14.04%)术后前房积血,2眼(3.51%)轻度眼球萎缩。结论应用睫状体联合前部视网膜冷凝术治疗难治性青光眼,能显著降低眼压,缓解患者疼痛症状,且并发症少,可重复治疗,是治疗难治性青光眼的有效方法。Objective To investigate the clinical effect of ciliary body combined with anterior retinal cryocoagulation for refractory glaucoma.Methods The clinical data of 57 cases（57 eyes）with refractory glaucoma were retrospectively analyzed after treatment of ciliary body combined with anterior retinal cryocoagulation.Postoperative intraocular pressure（IOP）,pain,visual acuity and complications were analyzed.Results The average IOP were（50.90±11.30）mmHg（1 kPa=7.5 mmHg）,and（16.30±10.70）mmHg at the last time for following up.There was significant difference with Paired t-test（t=14.90,P0.01）.The pain feeling was effectively reduced or disappeared in 50 eyes（96.20%）postoperatively.There were nubecula or edema in 18 eyes（31.58%）,anterior chamber effusion in 13 eyes（22.81%）,anterior chamber haemorrhage in 8 eyes（14.04%）and slight atrophy of eyeball in 2 eyes（3.51%）.Conclusions Application of ciliary body combined with anterior retinal cryocoagulation in the treatment of refractory glaucoma can effectively reduce intraocular pressure,significantly ease the pain in patients with symptoms,with less complication,and patients can treat again.It is an effective way for the treatment of refractory glaucoma.

关 键 词：难治性青光眼 睫状体 前部视网膜 冷凝治疗 

分 类 号：R775[医药卫生—眼科]