复合式小梁切除术治疗近绝对期青光眼的临床观察  

Clinical observation on compound trabeculectomy for nearly absolute glaucoma

作　　者：颜鲁宁[1] 孙涛[1] 

机构地区：[1]中国人民解放军第303医院眼科,中国广西壮族自治区南宁市530021

出　　处：《国际眼科杂志》2013年第1期167-168,共2页International Eye Science

摘　　要：目的:探讨复合式小梁切除术治疗近绝对期青光眼的临床疗效。方法:对28例28眼近绝对期青光眼患者行复合式小梁切除术,术后观察视力、眼压、前房、滤过泡及并发症,随访观察约3～12mo。结果:选取28例患者术后眼压得到控制,11例术后视力提高,14例无变化,3例视力下降。术后并发症主要为角膜水肿,浅前房及葡萄膜炎反应。结论:复合式小梁切除术能显著提高手术的成功率,减少并发症的发生,对近绝对期青光眼是一种安全及有效的手术方式。AIM：To evaluate the therapeutic effect of compound trabeculectomy in treatment of nearly absolute glaucoma.METHODS：A total of 28 cases（28 eyes） with nearly absolute glaucoma were treated with compound trabeculectomy,preoperative and postoperative intraocular pressure（IOP）,visual acuity were compared.The follow-up time was 3 to 12（average 7.5） months.RESULTS：IOP was controlled under normal standard in 28 eyes,visual acuity was improved in 11 eyes,unchanged in 14 eyes and worsened in 3 eyes.CONCLUSION：The compound trabeculectomy significantly increases the successful rate of operation,decreases complications,which is a safe,effective method on treating nearly absolute glaucoma.

关 键 词：复合式小梁切除术 近绝对期青光眼 

分 类 号：R779.6[医药卫生—眼科]