可调整缝线复合小梁切除术治疗持续高眼压青光眼  

Combined trabeculectomy with adjustable suture for glaucoma with persistent high intraocular pressure

作　　者：蒋燕玲[1] 姜士军[1] 朱彦霞[1] 徐强[1] 

机构地区：[1]连云港市第二人民医院眼科,江苏222000

出　　处：《中华眼外伤职业眼病杂志》2014年第12期931-934,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨可调整缝线复合小梁切除术对持续性高眼压状态下青光眼的手术效果。方法28例（28眼）在持续性高眼压状态下的青光眼行可调整缝线复合小梁切除术，观察术后眼压、视力、前房深度、滤过泡形态、炎性反应、眼底情况及并发症发生情况，并记录术后1周、1月、6月及1年的随访情况。结果28例中术后26例视力较术前有所提高，2例无提高。随访1年成功控制眼压22眼。未发生脉络膜下爆发性出血或睫状环阻塞性青光眼等严重并发症。结论持续性高眼压状态下的青光眼，把握时机行可调整缝线复合小梁切除术，术中及术后注意避免或减少并发症，可获得较高手术成功率，挽救视力。Objective To access the efficacy of combined trabeculectomy with adjustable suture for glaucoma with persistent high intraocular pressure. Methods Combined trabeculectomy with adjustable suture were performed on 28 eyes of 28 patients of glaucoma with persistent high intraocular pressure. Patients were followed up at 1 week, 1, 6 and 12 month. The postoperative intraocular pressure, visual acuity, anterior chamber depth, reactive inflammation, filtering bleb and complications were evaluated.Results The vision was improved in 26 eyes and not improved in 2 eyes postoperatively. The intraocular pressure was successfully controlled in 22 eyes during one-year follow-up. No severe complications occurred, such as subchoroidal expulsive hemorrhage or ciliary block glaucoma. Conclusion ~ Combined trabeculectomy with adjustable suture is effective and safe for glaucoma with persistent high intraocular pressure. This surgical technique can reduce the postoperative complications, and improve the vision of patients.

关 键 词：小梁切除术 复合 可调整缝线 青光眼 持续高眼压 

分 类 号：R775[医药卫生—眼科]