非穿透小梁手术联合应用丝裂霉素治疗青光眼  

Non-penetrating deep sclerectomy for glaucoma

作　　者：方爱武[1] 瞿佳[1] 王勤美[1] 刘晓强[1] 徐明[1] 

机构地区：[1]温州医学院附属眼视光医院眼科,325003

出　　处：《眼科研究》2001年第6期530-532,共3页Chinese Ophthalmic Research

摘　　要：目的　观察非穿透小梁手术联合丝裂霉素治疗青光眼的临床疗效。方法　对 32例 41眼青光眼患者进行非穿透小梁手术 ,术中联合应用丝裂霉素。术前、术后 1,2 ,8,15天 ,1,2 ,3月 ,以后每 3月进行视力、眼压、裂隙灯显微镜、检眼镜等检查。结果　术前眼压 32 96mmHg± 13 0 2mmHg( 1mmHg =0 133kPa) ,术后第 1天 6 5 9mmHg±2 6 0mmHg ,经 3～ 9月随访 ,最后随访 12 2 7mmHg± 3 48mmHg ,仅 2眼术后前房积血 ,均没有出现术中术后浅前房、炎症反应等并发症。结论　非穿透小梁手术联合应用丝裂霉素是一种安全。ObjectiveTo study the clinical effectiveness of non penetrating deep sclerectomy.Methods41 eyes of 32 patients with open angle glaucoma had non penetrating deep sclerectomy (NPDS).A superficial scleral flap was raised and a deep sclerectomy was performed in the scleral bed.Schlemm's canal was opened and dissection of the cornea was performed up to Descemet's membrane,at which point aqueous percolated through the remained trabeculo Descemet's membrane.Vision acuity,intraocular pressure (IOP) measurements,slit lamp and opthalmicroscope examinations were performed before surgery and at 1,2,8 and 15 days,and 1,2,3,6,and 9 months after surgery.ResultsThe mean preoperative IOP was 32 96mmHg ±13 02mmHg (1mmHg=0 133kPa).The mean postoperative IOP was 12 27±3 48mmHg during the follow up period ( 3～9 months).Operative complications included perforation during operation in 13 patients.Except 2 hyphemas,no postoperative complications occurred in all non penetrating patients.ConclusionNPDS appears to provide reasonable control of IOP,with few complications.

关 键 词：非穿透小梁手术 青光眼 丝裂霉素 

分 类 号：R775[医药卫生—眼科]