小梁切开术联合小范围小梁切除术治疗先天性青光眼  

Treatment of congenital glaucoma with combined trabeculoctomy and small trabeculectomy

作　　者：柯秀峰[1] 刘虹[1] 朱丹[1] 

机构地区：[1]宁南京医科大学第二附属医院眼科,210011

出　　处：《中国实用眼科杂志》2003年第10期757-758,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :探讨小梁切开术联合小范围小梁切除术治疗先天性青光眼的有效性和安全性。方法 :对 14例 ( 2 0只眼 )先天性青光眼行小梁切开术联合小范围小梁切除术。术后观察眼压、角膜横径、杯盘比值、滤过泡及并发症。随访 2 4～ 3 6个月平均 2 6 2 0± 6 0 2个月。结果 :术前平均眼压 3 2 5 0± 7 3 2mmHg ,最后一次随访时的平均眼压 14 60± 4 3 2mmHg ,两者差异有显著性 (t =6 2 4,P <0 0 1) ,手术成功率为 95 % (IOP <2 1mmHg)。术后 15只眼有功能性滤过泡。所有病例角膜横径和杯盘比值稳定。无玻璃体脱出 ,浅前房 ,虹膜粘连及眼内感染等并发症。结论 :小梁切开术联合小范围小梁切除术是一种安全、有效的治疗先天性青光眼的方法。Objective:To evaluate the clinical effects of combined trabeculoctomy with small trabeculectomy for congenital glaucoma. Methods:14 patients(20 eyes)with congenital glaucoma were treated with combined trabeculotomy and Small trabeculectomy.The mean follow-up was 26.20±6.02 months. Results:The mean preoperative IOP was 32.50±7.32mmHg,the mean postoperative IOP was 14.60±4.32mmHg,the difference was significant(P<0.01).The success rate was 95% (IOP<21mmHg).There were functional blebs in 15 eyes,compared with pre-operation,horizontal corneal diameter and C/D ratio of all patients was no longer extended.The complications such as vitreous loss,flat chamber,posterior synchia,endophthalmitis were not observed. Conclusions:Combined trabeculoctomy and small trabeculectomy for congenital glaucoma is a safe and effective surgery.

关 键 词：小梁切开术 小梁切除术 先天性青光眼 治疗 有效性 安全性 

分 类 号：R775.4[医药卫生—眼科] R779.6[医药卫生—临床医学]