非穿透性小梁切除术联合小梁切开术治疗先天性婴幼儿型青光眼(英文)  

Clinical curative effect analysis of non-penetrating trabeculectomy combined with 90 degrees trabeculotomy for the treatment of congenital infant glaucoma

作　　者：曹蕾[1] 于泳[1] 刘致力[1] 聂庆珠[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

出　　处：《国际眼科杂志》2013年第2期229-231,共3页International Eye Science

基　　金：辽宁省科学技术计划项目(No.2009225021)~~

摘　　要：目的:探讨非穿透性小梁切除术联合90度小梁切开术(non-penetrating trabeculectomyc ombined with 90 degrees trabeculotomy,NPTST)对治疗先天性婴儿型青光眼的手术方法及治疗效果,提高临床治疗效率。方法:回顾性分析2010-01/2012-01我院15例30眼原发性婴幼儿型青光眼的患者行NPTST。并分析术后眼压(intraocular pressure,IOP)改变,角膜横径以及并发症的情况。结果:本组术后1wk;1,3,6,12moIOP控制较术前下降,角膜横径保持原来大小或稍有减小,术后并发症发生率低。结论:NPTST对治疗先天性婴幼儿型青光眼成功率高,并发症少,是一种安全有效的治疗术式。AIM ： To study the surgical method and curative effect of non-penetrating trabeculectomy combined with 90 degrees trabeculotomy（ NPTST）. METHODS. A total of 15 patients （30 eyes） withcongenital infant glaucoma from January 2010 to January 2012 underwent NPTST. The change of intraocular pressure（lOP）, corneal diameter and incidence rate of postoperative complications were observed respectively. RESULTS： Compared to preoperation, the lOP in the group was lower at week 1, month 1,3, 6 and 12, corneal diameter keep original size or a slight decrease, less complications occurred. CONCLUSION： NPTST is a safe and effective surgical treatment of congenital infant glaucoma with high successful rate and low incidence rate of postoperative complications.

关 键 词：非穿透性小梁切除术 90度小梁切开 先天性婴 幼儿型青光眼 眼压 

分 类 号：R779.6[医药卫生—眼科]