结膜松解切口与前移修复晚期滤过泡渗漏  

Conjunctivai relieving incisions and advancement for the repair of late onset leaking trabeculectomy blebs

作　　者：韦斌[1] 陈鑫[1] 具尔提[2] 宁波[1] 

机构地区：[1]新疆克拉玛依市中心医院,834000 [2]新疆医科大学第一附属医院

出　　处：《中华眼外伤职业眼病杂志》2013年第10期772-774,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价结膜松解切口与前移修复晚期滤过泡渗漏的效果。方法对19只眼小梁切除术后晚期滤过泡渗漏进行前瞻性连续病例研究。17例（19只眼）术后晚期出现滤过泡渗漏，且伴有浅前房及低眼压。结果17眼滤过泡修复术后2％荧光素Seidel试验检查滤过泡处无房水渗漏且滤过泡功能良好。修复术前平均眼压为（8．06±3．9）mmHg，术后平均眼压为（16．6±2．5）mmHg（1mmHg=0．133kPa），（t=23．17，P〈0．001）。术后随访15～18月，17跟（89．5％）获得大体成功，14只眼（73．7％）为完全成功。2只眼（10．5％）失败。术后未出现严重的浅前房、低眼压。3只眼需要继续应用降眼压药物，2只眼因滤过泡处渗漏需再次手术。结论结膜松解切口与前移修复晚期滤过泡渗漏是安全有效的。Objective To evaluate the efficacy of combined conjunctival relieving incisions and conjunctiva advancement for the repair of late-onset leaking trabeculectomy blebs. Methods The study included 19 eyes with late-onset leaking trabeculectomy blebs in this prospective consecutive case control study. Each eye had appeared late-onset leaking trabeculectomy blebs with shallow anterior chamber and hypoto- My. Results In all cases the leaks were successfully closed and bleb function was maintained of 17 eyes by 2% fluorescein test. The mean preoperative intraocular pressure was （8.06 ±3.9）mmHg;the mean postoperative intraocular pressure was （ 16.6 - 2.5） mmHg, （t = 23.17, P 〈 0. 001 ）, Fifteen to eighteen months after operation, 17 eyes （89.5%） were considered an overall success, 14 eyes （73.7%） was complete success. 2 eyes （ 10.5% ） were considered failures. No severe postoperative hypotony or shallow anterior chamber was observed. 3 eyes required subsequent topical glaucoma medication. 2 eyes need future operation because of leaking trabeculectomy blebs. Conclusion Combined conjunctival relieving incisions and advancement for the repair of late-onset leaking trabeculeetomy blebs was safe and effective.

关 键 词：松解切口与前移 结膜 渗漏 滤过泡 晚期 

分 类 号：R779.6[医药卫生—眼科]