房角虹膜前粘分离术治疗闭角型青光眼的临床观察  

Clinical observation on goniosynechialysis for treatment of angle closure glaucoma

作　　者：李桥[1] 王育良[2] 

机构地区：[1]南京爱尔眼科医院,210006 [2]南京中医药大学附属医院

出　　处：《临床眼科杂志》2011年第3期212-214,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨房角虹膜前粘连分离术治疗闭角型青光眼的临床效果。方法 9例(9只眼)闭角型青光眼行房角虹膜前粘连分离术,观察术后眼压、房角及并发症的情况。随访时间6周至4个月。结果 9例(9只眼)术前平均眼压(39.44±12.86)mm Hg,至最后1次随访,术后平均眼压(13.33±1.80)mm Hg,与术前相比明显降低,差异有统计学意义(P<0.01)。超声生物显微镜(UBM)检查示:术后房角大部分或全开放。并发症:3例发生前房出血渗出,逐渐吸收,无浅前房、脉络膜脱离等并发症。结论对于闭角型青光眼,房角虹膜前粘连分离术疗效确切,具有较好的临床应用价值。Objective To investigate the clinical effectiveness of goniosynechialysis in lowering intraocular pressure in eyes with angle closure glaucoma.Methods 9 eyes of 9 angle closure glaucoma patients were followed up after goniosynechialysis.The observed signs included IOP,angle and complications.The follow-up duration was from 6 weeks to 4 months.Results The success rate of goniosynechialysis is 100%.Till last follow-up,mean IOP of post-operation（13.33±1.80 mm Hg） dropped significantly from that of pre-operation（39.44±12.86 mm Hg）（P0.01）.The anterior chamber angle were almost or all open by UBM.The complications that had been improved included hyphema,no one had narrow anterior chamber and detachment of choroid.Conclusion Goniosynechialysis is an effective surgical treatment for angle closure glaucoma.

关 键 词：房角虹膜前粘连分离术 闭角型青光眼 

分 类 号：R779.6[医药卫生—眼科]