巩膜瓣可拆除缝线在小梁切除术中的临床观察  

Clinical observation on releasable sclera flap sutures in trabeculecto-my.

作　　者：赵春光 杨朝山[2] 李秀山 刘庚辰 

机构地区：[1]河南省平顶山市第二人民医院,467000 [2]河南省鲁山县人民医院

出　　处：《眼外伤职业眼病杂志》2003年第5期339-340,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的 观察巩膜瓣可拆除缝线在小梁切除术中应用的效果。方法 在巩膜瓣两侧切口边缘(约中央处)作一对张力较大的外露可拆除缝线,外露端在角膜缘前透明角膜处约1mm。结果 28例(29眼)术后3天无一例发生浅前房,术后5天1眼拆线后出现1级浅前房,经处理后恢复正常,无一眼发生持续性浅前房。术后15天通过调整可拆除缝线及按摩眼球,眼压均控制在8.54～14.57mmHg之间(1mmHg=0.133kPa);术后随访视力较术前提高者10眼占34.5％、不变者17眼占58.6％、下降者2眼占6.9％。结论 巩膜瓣可拆除缝线的应用可有效地调节眼压,大大减少术后浅前房发生率,提高手术成功率。Objective To observe the clinical results of releasable sclera flap sutures in trabeculectomy. Methods In trabeculectomy, a pair of tight releasable suture was made at each side of the sclera flap and about 1 mm of the end was exposed to the cornea surface.5 - 15 days after surgery, the releasable sutures were removed according to the anterior chamber condition.Results In all of the 28 cases (29 eyes) ,no shallow anterior chamber took place in the first 3 days after surgery,5 days after surgery, Ⅰ grade of shallow anterior chamber occurered in 1 eye after sutures were removed, but was recovered to normal with treatment. 15 days after surgery,the intraocular pressure (IOP) was controlled to 8.54 ~ 14.57 mmHg for all of the eyes. Conclusion Releasable sclera flap sutures can effectively accommodate IOP,reduce the occurrence of postoperative shallow anterior chamber and improve surgical successful rate.

关 键 词：青光眼 巩膜瓣可拆除缝线 小梁切除术 临床观察 

分 类 号：R779.6[医药卫生—眼科] R775[医药卫生—临床医学]