两种三联手术治疗新生血管性青光眼的疗效比较  

Comparison of surgical effectiveness between two kinds of triple operation for neovascular glaucoma

作　　者：万超[1] 刘宁宁[1] 赵宁[1] 柳力敏[1] 才娜[1] 陈蕾[1] 

机构地区：[1]中国医科大学附属第一医院眼科,中国医科大学眼科中心,辽宁省糖尿病眼病防治中心,中国辽宁省沈阳市110001

出　　处：《国际眼科杂志》2011年第4期614-616,共3页International Eye Science

摘　　要：目的:比较视网膜冷凝联合睫状体冷冻联合小梁切除术与视网膜冷凝联合睫状体冷冻联合全视网膜光凝术两种三联手术治疗新生血管性青光眼的疗效。方法:回顾分析2006-01/2010-04中国医科大学附属第一医院收治的69例71眼新生血管性青光眼病例,其中视网膜冷凝联合睫状体冷冻联合小梁切除术治疗37例37眼,视网膜冷凝联合睫状体冷冻联合全视网膜光凝术治疗32例34眼,观察治疗前后视力、眼压、虹膜新生血管消退情况及术后并发症。结果:两种方法治疗的患者术前与术后视力、眼压及虹膜新生血管消退情况均有统计学差异。术后并发症视网膜冷凝联合睫状体冷冻联合全视网膜光凝术低于视网膜冷凝联合睫状体冷冻联合小梁切除术。结论:视网膜冷凝联合睫状体冷冻联合小梁切除术及视网膜冷凝联合睫状体冷冻联合全视网膜光凝术两种方法治疗新生血管性青光眼均有明显疗效,但视网膜冷凝联合睫状体冷冻联合全视网膜光凝术术后并发症发生率较低。AIM：To compare the effect of retinal cryocoagulation and cyclocryotherapy and trabeculectomy with the effect of retinal cryocoagulation and cyclocryotherapy and panretinal photocoagulation for neovascular glaucoma.METHODS：We retrospectively analyzed 69 cases 71 eyes from January 2006 to April 2010 in the First Hospital of China Medical University.37 cases 37 eyes were treated with retinal cryocoagulation and cyclocryotherapy and trabeculectomy,32 cases 34 eyes were treated with retinal cryocoagulation and cyclocryotherapy and panretinal photocoagulation.Visual acuity,intraocular pressure,the degradation of iris neovascularization and complications were observed before and after treatment.RESULTS：Visual acuity,intraocular pressure,the degradation of iris neovascularization and complications of the two groups were significantly different between before and after treatment.But the complications of panretinal photocoagulation group were significantly fewer than trabeculectomy group.CONCLUSION：The two methods have significant effects for neovascular glaucoma,but panretinal photocoagulation group has a lower incidence of postoperative complications.

关 键 词：新生血管性青光眼 视网膜冷凝术 睫状体冷冻术 小梁切除术 全视网膜光凝术 

分 类 号：R779.6[医药卫生—眼科]