小梁切开联合小梁切除术治疗开角型青光眼  

Trabeculotomy in combination with trabeculectomy in treatment of open-angle glaucoma

作　　者：李继英[1] 郝永娜[1] 郭黎霞[1] 班景飞 刘文茹[1] 

机构地区：[1]邯郸市眼科医院眼科,河北邯郸056001

出　　处：《中国医学装备》2013年第3期87-89,共3页China Medical Equipment

摘　　要：目的:观察小梁切开联合小梁切除治疗开角型青光眼的临床疗效。方法:对10例(16眼)开角型青光眼患者施行外路小梁切开联合小梁切除术。术后观察视力、前房反应、眼压及滤过泡情况。随诊时间1～36个月,平均13.4个月。结果:术后视力3眼无变化,其余均超过术前水平;术后1周眼压为0.93～2.67kPa,平均(1.92±0.67)kPa,末次回访眼压为1.33～2.67kPa,平均(2.05±0.53)kPa。与术前用药后眼压(4.67～4.93kPa,平均5.88kPa)相比下降3.69kPa。结论:小梁切开联合小梁切除治疗开角型青光眼的降眼压效果安全可靠,适用于小梁组织病变或发育异常的宽房角青光眼。Objective： To observe the clinical effect of trabeculotomy in combination with trabeculectomy in the treatment of open-angle glaucoma. Methods： Sixteen eyes in 10 patients with open-angle glaucoma were treated with trabeculotomy in combination trabeculectomy. The visual acuity, intraocular pressure（IOP）, inflammation and filtering bled were observed after operation. All patients were followed up for 1-36 months （average 13.4 months）. Results： Visual acuity was improved except for 3 eyes. After operation, the mean IOP was （1.92±0.67）kpa （range of 0.93-2.67kPa） in one week and （2.05±0.53）kPa （range of 1.33-2.67kPa） in the last time, which is decreased for 3.69kPa compared with using drugs before operation （range of4.67-4.93kPa, mean 5.88kPa）. Conclusion： trabeculotomy in combination with trabeculectomy is an effective and safe treatment for open-angle glaucoma in decreasing IOP, which is applicable to wide-angle glaucoma because of trabecular meshwork lesions or dysplasia.

关 键 词：开角型青光眼 小梁切开术 小梁切除术 

分 类 号：R775[医药卫生—眼科]