青光眼高眼压状态下复合式小梁切除术的效果  

Effectiveness of trabeculectomy in glaucoma patients with sustained ocular hypertension

作　　者：赵博[1] 王永毅[1] 柴珺[1] 胡馨[1] 梁圆圆[1] 

机构地区：[1]河南大学淮河医院眼科,开封475000

出　　处：《中华眼外伤职业眼病杂志》2013年第7期529-532,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨青光眼持续高眼压状态下进行复合式小梁切除术的临床效果。方法急性闭角型青光眼76例（79眼）。按术前眼压控制情况分为高眼压组28例（30眼），术前眼压≥40mmHg；和对照组48例（49眼），术前眼压〈40mmHg。两组均行复合式小梁切除术，随访6～12个月，对两组的手术效果和术后并发症进行比较。结果两组术中术后均未出现脉络膜下爆发性出血、玻璃体脱出或睫状环阻塞性青光眼等严重并发症。术后视力均得到提高；术后1周高眼压组眼压高于对照组。而术后6个月两组眼压控制情况差异无统计学意义；术后可调节缝线的拆除时间高眼压组明显早于对照组。结论青光眼持续高眼压状态下进行复合式小梁切除术是安全、有效的治疗方法。Objective To explore the effectiveness of trabeculectomy in glaucoma patients with sustained ocular hypertension. Methods A total of 79 eyes of 76 patients with a diagnosis of acute primary angle closure glaucoma had underwent trabeculectomy. The patients were divided into two groups： high in- traocular pressure （lOP） group （30 eyes of 28 cases with preoperative lOP≥40 mmHg） and control group （49 eyes of 48 cases with preoperative lOP 〈40 mmHg）. The follow up was from 6 to 12 months. The surgi- cal effectiveness and postoperative complications were compared and analysed. Results The severe compli- cations such as expulsive suprachoroidal hemorrhage, vitreous hernia or ciliary block glaucoma were not found in those two groups. The visual acuities were improved in all cases. The lOP of high lOP group ffas higher than control group significantly at 1 week postoperatively. The differences of lOP between the two groups was not statistically significant at 6 months postoperatively. The time of removing adjustable suture was earlier in high lOP group than control group. Conclusion Trabeculectomy is safe and effective for glaucoma patients with sustained ocular hypertension.

关 键 词：青光眼 高眼压 小梁切除术 

分 类 号：R779.6[医药卫生—眼科]