外路小梁切开术治疗原发性婴幼儿型青光眼的疗效  

Extra-trabeculotomy in treatment of primary infantile glaucoma

作　　者：门洁[1] 张晓辉[2] 高殿文[1] 

机构地区：[1]中国医科大学附属盛京医院眼科,中国辽宁省沈阳市110004 [2]哈尔滨二四二医院眼科,中国黑龙江省哈尔滨市150066

出　　处：《国际眼科杂志》2012年第2期335-336,共2页International Eye Science

摘　　要：目的:观察外路小梁切开术治疗原发性婴幼儿型青光眼的近期和远期疗效。方法:对2009-01/2011-01间我科用外路小梁切开术所做的23例42眼原发性婴幼儿型青光眼病例随访10～34mo,记录眼压、角膜横径值和杯盘比值。结果:手术成功率术后1wk时为88%,远期为84%。远期观察眼压较术前明显降低,杯盘比值也较术前改善,角膜横径和术前值相比无明显差异。结论:外路小梁切开术成功率较高,是治疗婴幼儿型青光眼的较好方法,应作为治疗原发性婴幼儿型青光眼的首选术式。AIM：To observe the therapeutic effect of extra-trabeculotomy in treatment of primary infantile glaucoma（PIG）.METHODS：A total of 23 cases（42 eyes）who were diagnosed with PIG and underwent extra-trabeculotomy in our hospital from January 2009 January 2011 were retrospectively analyzed.The intraocular pressure,corneal diameter and cup-disk ratio were observed.The follow-up period was 10-34 months.RESULTS：At the postoperative 1 week,the successful rate of extra-trabeculotomy was 88%.For those eyes with the follow-up more than 10 months,the intraocular pressure was significantly decreased,the cup-disk ratio was reduced,the corneal diameter unchanged and the successful rate was 84%.CONCLUSION：The glaucoma surgery of extra-trabeculotomy is an effective and optimal method for PIG for its high successful rate.

关 键 词：外路小梁切开术 原发性婴幼儿型青光眼 

分 类 号：R779.6[医药卫生—眼科]