小梁切除联合丝裂霉素治疗外伤继发性青光眼  

作　　者：王永强[1] 张鸿瑫[1] 王光洁[1] 路振莉[1] 

机构地区：[1]济南军区总医院眼科,山东济南250031

出　　处：《中华眼外伤职业眼病杂志》2011年第2期124-126,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察小梁切除手术联合丝裂霉素治疗外伤继发性青光眼的临床效果。方法对19例（19眼）外伤继发性青光眼应用小梁切除术治疗，术中联合应用丝裂霉素。术后随访眼压、滤泡形态，视力，以及手术并发症。结果术后眼压均低于术前，滤泡在术后3～7d形成，形态良好。视力较术前有不同程度改善。并发症包括前房积血、浅前房，未出现严重的并发症。结论小梁切除术联合丝裂霉素治疗外伤继发性青光眼是一种安全、有效的治疗方法，在药物治疗无法控制眼压时，可以考虑应用该方法治疗。Objective To observe the clinical effect of trabeculectomy combined with mitomycin C for treating traumatic glaucoma.Methods 19 patients(19 eyes) with trauma-induced glaucoma received trabeculectomy combined with mitomycin C application.Postoperative intraocular pressure(IOP),conditions of filtering bleb,visual acuity and postoperative complications were followed up for 6 months.Results Postoperative IOP was lower than preoperative IOP(P<0.01).Filtering bleb formed 3-7 days after surgery.The main complications were hyphema and shallow anterior chamber.There were no severe complications.Conclusion Trabeculectomy combined with mitomycin C is a safe and effective method in treating traumainduced secondary glaucoma.The above method can be used once the lOP could not be controlled by medication.

关 键 词：小梁切除术 丝裂霉素 青光眼 继发性 

分 类 号：R779.6[医药卫生—眼科]