眼球筋膜囊切除小梁切开和小梁切除联合手术治疗先天性青光眼临床研究  

Combined surgery of tenonectomy, trabeculotomy and trabeculectomy for treatment of congenital glaucoma

作　　者：董敬民[1] 张金嵩[1] 张效房[1] 王卫群[1] 孔令训[1] 

机构地区：[1]郑州大学第一附属医院眼科,郑州450052

出　　处：《中华眼外伤职业眼病杂志》2011年第4期247-249,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨眼球筋膜囊切除、小梁切开和小梁切除联合手术治疗先天性青光眼临床疗效。方法对56例（83眼）先天性青光眼行眼球筋膜囊切除、小梁切开和小梁切除联合手术。结果术后1周眼压（13．50±4．50）mmHg，较术前的（33．50±5．50）mmHg为低（P〈0．05）；术后6-12个月随访，眼压控制理想。前房出血是常见并发症共35眼（42．17％），均于术后1-3d吸收。结论眼球筋膜囊切除、小梁切开和小梁切除联合手术是治疗先天性青光眼安全有效的手术方式。Objective To investigate the effect of combined surgery of tenonectomy, trabeculotomy and trabeculectomy for treatment of congenital glaucoma. Methods Trabeculotomy and trabeculectomy combined with tenonectomy（ excision of tenon＇s capsule） were performed on 56 cases （83 eyes ） of congeni- tal glaucoma. Results Average intraocular pressure （lOP） was reduced from （ 33.50 ＋ 5.50） mmHg to （ 13.50 ＋4.50）mmHg 1 week after operation（P 〈0.05）. The period of follow-up was 6-12 months, lOP were controlled in normal level along following up period. The most common complication was hyphema, which was found in 35 eyes and was absorbed in 1-3 days after operation. Conclusions The combined sur gery of tenonectomy, trabeculotomy and trabeculectomy for treatment of congenital glaucoma was safe and ef ficient for treatment of congenital glaucoma.

关 键 词：眼球筋膜囊切除术 小梁切开术 小梁切除术 青光眼 先天性 

分 类 号：R779.6[医药卫生—眼科]