玻璃体切割联合睫状突视网膜光凝术治疗新生血管性青光眼疗效分析  

The effect of vitrectomy combined with cyclophotocoagulation and pan retinal photocoagula- tion in management of neovascular glaucoma

作　　者：黄正如[1] 陈海英[1] 顾正[1] 

机构地区：[1]常熟市第二人民医院眼科,常熟215500

出　　处：《中国实用眼科杂志》2011年第8期816-818,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的分析玻璃体切割术联合睫状突视网膜光凝治疗晚期新生血管性青光眼的疗效。方法新生血管性青光眼15例（16只眼），行玻璃体切割术、全视网膜光凝术和睫状突光凝术，合并的白内障同时行超声乳化吸除。术后随访（12～18）月，观察手术前后视力、眼压改变和并发症等。结果术后16只眼中9只眼视力不同程度提高。术前眼压为（30．1～65．2）mmHg（1mmHg=0．133kPa），平均（45．9±8．4）mmHg；术后1月眼压为（8．4～31．4）mmHg，平均（20．7±5．9）mmHg；术后6月、术后12月眼压分别为（10．4～28．1）mmHg，平均（18．9±4．2）mmHg、（9．7～26．4）mmHg，平均（17．7±3．9）mmHg，术后1月、6月、12月眼压与术前眼压的差异均具有统计学意义（P〈0．01）。术后虹膜新生血管大部消退。无严重并发症。结论玻璃体切割术联合睫状突视网膜光凝治疗术能有效治疗晚期新生血管性青光眼。Objective To evaluate the efficacy of vitrectomy combined with cyclophotocoagulation and pan retinal photocoagnlation in management of neovascular glaucoma retrospectively. Methods Vitrectomy combined with cyclophotocoagnlation and pan retinal photocoagulation were performed on 15 cases （16 eyes） with neovascular glaucoma. All patients were followed up from 12 to 18 months. The change of intraocular pressure （IOP）, visual acuity, complications were observed. Results The visual acuity of 9 eyes was improved post-operation. Compared to pre-operation, the mean of lOP was significantly decreased at 1 month, 6 months, and 12 months post-operation （P 〈0.01）. No serious complications occurred. Conclusions Vitrectomy combined with cyclophotocoagulation and pan retinal photocoagulation can manage neovascular glaucoma effectivelv.

关 键 词：新生血管性青光眼 激光凝固术 玻璃体切割术 睫状体 视网膜 

分 类 号：R775[医药卫生—眼科]