小梁切除联合前巩膜切开治疗青光眼临床观察  

Clinical observation of trabeculectomy combined with former sclerotomy in the treatment of glaucoma

作　　者：许娜[1] 刘莎利[1] 赵惠琼[1] 

机构地区：[1]云南省玉溪市人民医院眼科,玉溪653100

出　　处：《临床医学》2014年第6期32-33,共2页Clinical Medicine

摘　　要：目的探讨小梁切除联合前巩膜切开治疗青光眼的临床疗效。方法对术前检查为小眼球或持续高眼压>40 mm Hg(1 mm Hg=0.133 KPa)、眼轴<20 mm的23例患者(23只眼),行小梁切除联合前巩膜切开治疗。术后观察眼压、前房、视力、滤过泡及并发症等情况。结果有2例患者术后出现脉络膜上腔出血,出血经过前巩膜切口引流到结膜下,术后不仅保存了眼球还保存部分视力。余21例患者术后眼压控制好,浅前房、脉络膜脱离、低眼压等术后并发症减少。结论小梁切除联合前巩膜切开治疗青光眼安全性高,术后并发症少,学习曲线短,值得在临床推广。Objective To investigate the clinical effect of trabeculectomy combined with former sclerotomy on glaucoma. Methods Twenty-three patients with small eyeball or continuous high intraocular pressure 〉 40 mm Hg or eye axis 〈 20 mm, and were given trabeculectomy combined with former sclerotomy. After operation,the intraocular pressure,anterior chamber, visual acuity,filtering bleb and complications were observed. Results After operation,there were 2 patients with subchoroidial hemorrhage,the bleeding was drained to the conjunctiva by scleral incision,which not only save the eyeball but also save part vi-sion. The other 21 patients got good intraocular pressure control,reduced the postoperative complications such as shallow anterior chamber,choroid detachment and low intraocular pressure. Conclusion Trabeculectomy combined with former sclerotomy in the treatment of glaucoma is safe,has fewer postoperative complications,the method is worthy to be popularized in clinics.

关 键 词：小梁切除术 前巩膜切开 脉络膜上腔出血 并发症 

分 类 号：R779.6[医药卫生—眼科]