原发性先天性青光眼临床治疗研究  

Clinical study of operative treatment of primary congenital glaucoma

作　　者：韩冬[1] 

机构地区：[1]中国河北省邢台市眼科医院,054001

出　　处：《国际眼科杂志》2012年第4期644-646,共3页International Eye Science

摘　　要：目的:观察并分析外路小梁切开联合小梁切除术治疗原发性先天性青光眼的临床疗效。方法:收集原发性先天性青光眼患者51例89眼,应用外路小梁切开联合小梁切除术进行治疗,观察术后眼压、角膜横径、杯/盘比值、滤过泡情况及手术并发症并分析其临床疗效。结果:术后平均随访(15.21±6.50)mo,术后1,6,12mo手术成功率分别为97%,90%,90%。术后平均眼压较术前显著降低(P<0.01);杯/盘比值较术前明显减小(P<0.01);角膜横径手术前后差异无显著意义(P=0.495);手术失败者角膜横径较术前增大(P<0.05)。手术并发症主要有不同程度的前房出血和术后浅前房等。结论:外路小梁切开联合小梁切除术是治疗原发性先天性青光眼安全有效的手术方式之一。AIM：To observe and analyze the clinical effect of primary congenital glaucoma treated with extra-trabeculotomy combined trabeculectomy.METHODS：Totally 51 cases（89 eyes） of primary congenital glaucoma were collected and extra-trabeculotomy combined trabeculectomy were performed.The intraocular pressure,corneal diameter,C/D ratio,filtering bleb and complications after operation were observed and the clinical effects were analyzed.RESULTS：The mean follow-up period was 15.21±6.50 months.The success ratio after operation was 97%,90%,90% in 1 month,6,12 months respectively.The mean intraocular pressure decreased significantly after operation（P0.01）.C/D ratio decreased significantly（P0.01）.There was no significant difference in corneal diameter pre-and post-operation（P=0.495）.The corneal diameter enlarged in failed operation cases（P0.05）.The main complications were various degrees of hyphema and shallow anterior chamber.CONCLUSION：Extra-trabeculotomy combined trabeculectomy is an effective way to treat primary congenital glaucoma.

关 键 词：原发性先天性青光眼 外路小梁切开术 小梁切除术 

分 类 号：R779.6[医药卫生—眼科]