原发性闭角型青光眼治疗前后视神经的影响  

EFFECT OF OPERATION THERAPY ON THE OPTIC NERVE FOR PATIENTS WITH PRIMARY ANGLE-CLOSURE GLAUCOMA

作　　者：王艳红 

机构地区：[1]河北省承德市围场满族蒙古族自治县医院,067000

出　　处：《中国煤炭工业医学杂志》2014年第5期692-694,共3页Chinese Journal of Coal Industry Medicine

基　　金：河北省科技厅课题(编号:JSK-209178)

摘　　要：目的探讨原发性闭角型青光眼手术治疗前后视神经的影响。方法选择2011年10月—2013年12月于该院就诊的原发性闭角型青光眼患者60例(60只眼),均给予非穿透小梁手术治疗。结果所有患者都顺利完成手术,经过观察,本组患者术后的最佳矫正视力有明显改善(P<0.05)。术后显效42例,有效16例,无效2例,总有效率96.7%。本组患者术后的P-100波潜伏期及N75振幅值明显低于术前,差异有统计学意义(P<0.05)。结论非穿透小梁手术治疗原发性闭角型青光眼能有效改善视神经与视力,从而提高治疗疗效,值得推广应用。Objective To investigate the impact on the optic nerve before and after the primary angle- closure glaucoma surgery. Methods Totally 60 patients （60 eyes）with primary angle- closure glaucoma we re selected from October 2011 to December 2013 in author＇s hospital, they were given non- penetrating trabecular surgery. Results The operation was completed in all patients, best corrected visual acuity improvement was significantly after operation in this group （P〈0.05）. Forty- two cases were markedly effective, 16 cases were effective and 2 cases were invalid, the total efficiency rate was 96.7%. The P- 100 wave latency and N75 amplitude were significantly lower than preoperative value, the difference was statistical significance （P〈0.05）. Conclusion Non- penetrating trabecular surgery can effectively improve the optic nerve and vision in patients with primary angleclosure glaucoma, enhance the therapeutic efficacy and it should be widely applied.

关 键 词：原发性闭角型青光眼 非穿透小梁手术 视神经 

分 类 号：R775.2[医药卫生—眼科]