睫状体光凝术与小梁切除术治疗原发性急性闭角型青光眼持续性高眼压疗效观察  被引量:4

Clinical effect observation of cyclophotocoagulation and trabeculectomy in the treatment of primary acute angle closure glaucoma with persistent intraocular hypertension

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作  者:王伶俐[1] Wang Lingli(Department of Ophthalmology,the People's Hospital of Macheng City,Hubei Province 438300)

机构地区:[1]湖北省麻城市人民医院眼科,438300

出  处:《中国社区医师》2016年第10期80-81,共2页Chinese Community Doctors

摘  要:目的:探究睫状体光凝术和小梁切除术治疗原发性急性闭角型青光眼持续性高眼压的疗效。方法:收治原发性急性闭角型青光眼持续性眼压升高行睫状体光凝术后眼压再次升高后又行小梁切除术患者21例,比较患者睫状体光凝术前后及小梁切除术前后的眼压、视力及术后并发症。结果:患者眼压激光睫状体光凝术后与术前比较,差异具有统计学意义(P<0.05)。患者眼压小梁切除术前与激光睫状体光凝术前比较,差异具有统计学意义(P<0.05)。患者眼压小梁切除术后与小梁切除术前相比,差异有统计学意义(P<0.05)。结论:原发性急性闭角型青光眼持续性高眼压患者采用睫状体光凝术治疗。若术后患者眼压再次升高,可行小梁切除术,以防止眼功能进一步损害。Objective:To explore the clinical effect of cyclophotocoagulation and trabeculectomy in the treatment of primary acute angle closure glaucoma with persistent intraocular hypertension.Methods:21 cases of patients with primary acute angle closure glaucoma with persistent intraocular hypertension was treated with trabeculectomy for intraocular hypertension again after cyclophotocoagulation and the intraocular pressure.Visual acuity and postoperative complications of patients before and after cyclophotocoagulation and trabeculectomy were compared.Results:The intraocular pressure of patients before and after cyclophotocoagulation was compared with before cyclophotocoagulation,and the difference was statistically significant(P<0.05).There was statistically significant difference of intraocular pressure of patients between before cyclophotocoagulation and before trabeculectomy(P<0.05).There was statistically significant difference of intraocular pressure of patients between before and after trabeculectomy(P<0.05).Conclusion:The patients with primary acute angle closure glaucoma with persistent intraocular hypertensionon could be treated with cyclophotocoagulation.If the postoperative intraocular pressure was increased again,trabeculectomy was feasible in order to prevent the further damage.

关 键 词:急性闭角型青光眼 睫状体光凝术 小梁切除术 高眼压 

分 类 号:R779.6[医药卫生—眼科]

 

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