全周小梁切开术治疗发育性青光眼  

Microcatheter-guided complete circle trabeculotomy in developmental glaucoma

作　　者：杨苗苗 张晓利[1] YANG Miaomiao;ZHANG Xiaoli(Ophthalmology Department Zhengzhou Second Hospital,Zhengzhou Henan 450000)

机构地区：[1]郑州市第二人民医院眼科,河南郑州450000

出　　处：《实用防盲技术》2023年第1期16-18,共3页Journal of Practical Preventing Blind

摘　　要：目的评评估微导管引导下全周小梁、Schlemm管切开术治疗发育性青光眼的临床疗效。方法回顾2014年6月至2018年6月郑州市第二人民医院收治的发育性青光眼患儿21例(37眼),行微导管引导下全周小梁、Schlemm管切开术。对患儿手术前后眼压、角膜横径、杯盘比、降眼压药物使用情况及术后并发症进行分析。结果患儿眼压术前术后对比差异有统计学意义(t=17.91,16.25,15.92,15.87,15.58,13.49;P<0.05),64.86%患儿角膜横径、51.35%患儿杯盘比术后较术前减小,术后用药种类显著减少。术中患儿均出现少量前房出血,术后1~3d吸收。术后少量患儿出现虹膜点状黏连、脉络膜脱离,用药后均痊愈。结论微导管引导下全周小梁、Schlemm管切开术是有效治疗发育性青光眼的手术方式,而且术后没有滤过泡,护理简便,无需常年行眼球按摩。Objective To assess the clinical efficacy of opening the full circle canal of Schlemm assisted by Microcatheter combined trabeculotomy for developmental glaucoma.Methods A retrospective analysis.The clinical data of 21 children with developmental glaucoma(37 eyes) admitted to the Zhengzhou Second Hospital from Jun.2014 to Jun.2018 were collected.The children underwent microcatheter-guided complete circle trabeculotomy and schlemm tube incision.The intraocular pressure,corneal transverse diameter,cup-disc ratio,number of the drugs for reducing intraocular pressure and postoperative complications were observed.Results The difference of the intraocular pressure before and after operation was significant(t=17.91,16.25,15.92,15.87,15.58,13.49;P<0.05).The corneal transverse diameter in 64.86% cases and the cup-disk ratio in 51.35% cases were decreased.A small amount of anterior chamber hemorrhage occurred during the operation,which was absorbed 1-3 days after operation.After operation,a small number of children developed iris punctate adhesion and choroidal detachment,which were cured after medication.Conclusions Microcatheter-guided trabeculotomy and Schlemm tube incision is an effective method for the treatment of developmental glaucoma.There is no filtering bleb after operation,and it does not need postoperative eye massage.

关 键 词：小梁切开术 Schlemm管切开 发育性青光眼 

分 类 号：R779.6[医药卫生—眼科]