复合式小梁切除术后低眼压及滤过泡并发症的临床分析  

Analysis of complications on hypotony and filtering bleb after combined trabeculectomy

作　　者：成洪波[1] 黄丽娜[1] 赖铭荣[1] 

机构地区：[1]深圳市眼科医院,518001

出　　处：《中国实用眼科杂志》2001年第3期218-220,共3页Chinese Journal of Practical Ophthalmology

摘　　要：为了探讨复合式小梁切除术后常见滤过泡并发症及低眼压并发症的发生与处理 ,我们对随访了 1～ 3年的 75眼 ( 6 4例 )青光眼复合式小梁切除术后患者进行了回顾性分析。结果发现 :滤过泡并发症中 ,滤过泡渗漏发生率为 9.3% ,巨大薄壁滤过泡发生率为 8% ,包裹囊样滤过泡发生率为 12 % ,无滤过泡形成发生率为 6 .7% ;低眼压并发症中 ,持续性低眼压发生率为 8% ,低眼压性黄斑病变发生率为 2 .7%。说明复合式小梁切除术由于术中或术后使用 MMC或 5 - Fu,滤过泡及低眼压已成为常见并发症 ,而低眼压性黄斑病变已成为最严重的并发症。如果能在术后早期严密观察 ,及时处理滤过泡并发症 ,大部分滤过泡仍可恢复功能 。Objective: To study the incidence and management of the complications of filtering bleb and hypotony after combined trabeculectomy. Methods: We performed a retrospective analysis on 7S eyes of 64 glaucoma patients who underwent combined trabeculectomy 1 to 3 years before. Results: The complications on filtering bleb were bleb leaks (7/75, 9.3%), large thin bleb (6/75, 8 %), encapsulated bleb (9/75, 9.3%), and no bleb formation (5/75, 6.7%). The complications of hypotony were persistent hypotony (6/75, 8%), hypotonous maculopathy (2/75, 2.7%). Conclusions: Common complications were abnormal blebs and hypotony after combined trabeculectomy. The most severe complication was hypotonous maculopathy. If we can manage the complications of bleb in time, more abnormal blebs could be repaired and normal IOP could be obtained.

关 键 词：青光眼 复合式小梁切除术 并发症 低眼压 滤过泡并发症 

分 类 号：R775.06[医药卫生—眼科]