深层巩膜切除联合Healon GV注入治疗开角型青光眼  

A short-term report of deep sclerectomy combined with Healon GV injection in patients with primary open-angle glaucoma

作　　者：刘文斌[1] 温耀春[1] 孙思勤[1] 

机构地区：[1]安徽省立医院眼科,合肥230001

出　　处：《眼科研究》2003年第2期189-190,共2页Chinese Ophthalmic Research

摘　　要：目的　观察深层巩膜切除联合玻璃酸钠 (HealonGV)注入对开角型青光眼的近期治疗效果。方法　对 15例 19眼原发性开角型青光眼患者行深层巩膜切除联合浅巩膜瓣下HealonGV注入 ,术后观察视力变化、眼压、前房反应和滤过泡情况。结果　术前眼压为 (2 7 6± 8 1)mmHg ,术后 3个月为 (15 2± 4 7)mmHg ,差异有显著性 (P <0 0 0 1) ,平均眼压下降幅度为 44 9% (12 4mmHg)。术后发生浅前房、前房积血各 1例 1眼 ,未观察到严重并发症。所有病例术前与术后 1d、7d、3个月视力统计学差异无显著性。结论　深层巩膜切除联合HealonGV注入能有效降低开角型青光眼患者眼压 ,且并发症少 ,视力恢复快 。ObjectiveTo investigate the short term results of deep sclerectomy with Healon GV injection (DSH) in patients with primary open angle glaucoma(POAG).MethodsNineteen eyes of 15 patients with POAG underwent DSH. Their intraocular pressure (IOP), visual acuity(VA), filtering bleb and anterior chamber condition were observed before and after surgery.ResultsThe mean IOP decreased from a preoperative value of 27 6±8 1 mmHg to a postoperative value of 15 2 ±4 7 mmHg ( P <0 001 ).The success rate, which was defined as an IOP lower than 21 0 mmHg without and with medication, was 57 9% and 36 8% respectively. Postoperative complications included 1 case of hyphema and 1 case of flat chamber.ConclusionDeep sclerectomy combined with Healon GV injection shows better control of IOP and fewer postoperative complications during short term follow up.

关 键 词：开角型青光眼 深层巩膜切除 玻璃酸钠 

分 类 号：R775[医药卫生—眼科]