小梁切除术联合视网膜光凝术治疗新生血管性青光眼  

Trabeculectomy combined with panretinal photocoagulation for the treatment of neovascular glaucoma

作　　者：袁红枝[1,2] 刘波[1,2] 

机构地区：[1]东莞市太平人民医院眼科 [2]暨南大学医学院附属东莞医院,523900

出　　处：《实用防盲技术》2014年第1期11-12,15,共3页Journal of Practical Preventing Blind

摘　　要：目的探讨复合小梁切除术联合视网膜光凝术治疗新生血管性青光眼的疗效。方法回顾性分析视网膜中央静脉阻塞继发新生血管性青光眼患者9例,行复合小梁切除术,术后1周予全视网膜光凝术。记录术前及术后3个月、12个月患者视力、眼压、虹膜及房角新生血管检查,眼底视网膜新生血管消退及无灌注区情况。结果术后12个月患者视力提高8眼,1眼无明显提高。术后眼压:5例患者眼压控制在21mmHg以下;4例眼压控制欠佳,需要局部使用降眼压药物,其中2例使用一种局部降眼压药物后眼压控制在21mmHg以下,另外2例眼压不能控制。虹膜及房角新生血管消退。眼底3个月和12个月后行荧光血管造影显示新生血管消退,无水肿,毛细血管无灌注区消失。结论复合小梁切除术联合全视网膜光凝术是一种治疗视网膜中央静脉阻塞继发的新生血管性青光眼的有效的方法。Objetive This study is aimed to analyze the efficacy of compound trabeculectomy combined with panretinal photocoagulation for the treatment of neovascular glaucoma. Methods Retrospective analysis was conducted on 9 cases （9 eyes） with neovascular glaucoma after retinal central vein occlusion in our hospital from July 2010 to June 2013.The visual acuity, intraocular pressure, iris and angle neovascularization examination, fundus retinal neovascularization subsided, was recorded at preoperative and postoperative 3 months and 12 months Results Postoperative visual acuity improved in 8 eyes, 1 eye had no obvious improvement. IOP control in 5 patients following the 21mmHg; 4 cases of intraocular pressure control are poor and need topical IOP-lowering drugs. With the use of a topical ocular hypotensive drugs, IOP can control in 2 cases and the other 2 cases can not. Iris and angle neovascularization subsided. Fundus fluorescence angiography 3 months and 12 months later showed resolution of neovascularization, no edema, and capillary non peffusion area disappeared. Conclusion Compound trabeculectomy combined with panretinal photocoagulation is an effective method for neovascular glaucoma secondary to central retinal vein occlusion.

关 键 词：视网膜光凝术 小梁切除术 新生血管性青光眼 视网膜中央静脉阻塞 

分 类 号：R779.63[医药卫生—眼科]