小梁切除联合羊膜移植治疗难治性青光眼  

Trabeculectomy with the use of amniotic membrane for refractory glaucoma.

作　　者：杜志山[1] 

机构地区：[1]天津宝坻县医院眼科,301800

出　　处：《眼外伤职业眼病杂志》2002年第2期180-181,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　探讨小梁切除联合羊膜移植治疗难治性青光眼的效果。方法　对 8例 10眼难治性青光眼施行小梁切除联合羊膜移植术。随访 3～ 12月 ,平均随访 8 5月 ,观察眼压、视力及滤过泡情况。结果　随访期间除 1眼眼压 2 4 38mmHg需用药物控制外 ,其余 9眼眼压 15 88～ 2 0 5 5mmHg ,滤过泡均呈弥散型功能性滤过泡 ,视力提高 3眼。结论　小梁切除联合羊膜移植术可有效地防止滤过泡的瘢痕形成 。Objective To explore the effect of amniotic membrane implantation and trabeculectomy in treating refractory glaucoma.Methods The combined surgery was performed on 10 eyes in 8 patients.After operation,the intraocular pressure,vision and filtration bleb were observed (mean 8.5 month) for 3～12 months.Results Intraocular pressures were controlled between 15.88～20.55 mmHg in 9 eyes,24.38 mmHg in 1 eye.Functional conjunctival blebs of filtration maintained in 10 eyes.Visual acuities improved in 3 eyes.Conclusion Trabeculectomy with amniotic membrane implantation is an effective method to maintain filtering function and to prevent scar tissue formation.

关 键 词：难治性青光眼 小梁切除术 羊膜移植 治疗 

分 类 号：R779.6[医药卫生—眼科]