睫状体和周边视网膜冷凝治疗晚期新生血管性青光眼  

Treatment of neovascular glaucoma by ciliary body cryotherapy combined with peripheral retinal cryotherapy

作　　者：秦萍[1] 魏星[1] 刘玥[1] 许耀[1] 

机构地区：[1]郑州大学第二附属医院眼科,郑州450014

出　　处：《医药论坛杂志》2011年第16期33-35,共3页Journal of Medical Forum

摘　　要：目的观察睫状体冷凝联合周边视网膜冷凝治疗晚期新生血管性青光眼的临床疗效。方法回顾分析了药物不能控制或已行其他抗青光眼手术失败而接受睫状体冷凝联合周边视网膜冷凝手术治疗的新生血管性青光眼48例(48眼)。观察眼压、视力、虹膜新生血管改变及术后并发症。结果 28眼眼压<21mm Hg,19眼联合降眼压药物点眼眼压<30mm Hg。虹膜新生血管完全消退31眼(64.58%),新生血管较术前明显减少17眼(35.42%)。术后视力提高14眼(29.17%),视力不变27眼(56.25%),视力下降7眼(14.58%)。术后并发症:早期多数出现一过性眼压升高,出现眼球萎缩1例。结论睫状体冷凝联合周边视网膜冷凝能有效降低眼压,使部分患者得以保留原有视力,少数有所提高,操作简单,易于掌握,是一种较为安全有效的手术方法。Objective To observe the treatment of ciliary body cryotherapy combined with peripheral retinal cryotherapy for neovascular glaucoma.Methods A retrospective analysis of the drug can not control or failure of other anti-glaucoma surgery received peripheral retinal cryotherapy ciliary body cryotherapy combined surgical treatment of 48 cases of neovascular glaucoma（48 eyes）.To observe the change of intraocular pressure,visual acuity,iris neovascularization and complications.Results IOP： the IOP of 28 eyes all controlled uder 21mm Hg,the IOP of 19 eyes which joint antiglaucoma medications controlled under 30mm Hg.Iris neovascularization decreased in 31 eyes（64.58%）,neovascularization significantly reduced compared with the preoperative thinning 17 eyes（35.42%）.Visual acuity： visual acuity was improved in 14 eyes（29.17%）,no change in 21 eyes（56.25%）,decreased vision in 13 eyes（27.08%）.Postoperative complications： early majority had transient elevation of intraocular pressure.One case of ocular atrophy occurs.Conclusions Ciliary body cryotherapy combined with peripheral retinal cryotherapy can reduce intraocular pressure,so that some patients to retain the original vision,a small number of them has increased.This treatment is a simple operation,easy to master and have safer surgical techniques.

关 键 词：睫状体 周边视网膜 冷凝 新生血管性青光眼 

分 类 号：R779.6[医药卫生—眼科]