《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (08): 502-503.

• 临床研究 • 上一篇    下一篇

青光眼滤过术疗效观察

赵海霞1; 陆蓓2; 黄一飞1   

  1. 1.解放军总医院眼科 北京市 100853;2.内蒙古医学院附属医院眼科 内蒙古呼和浩特市 010050
  • 收稿日期:2003-12-12 出版日期:2004-08-25 发布日期:2004-08-25

Effect of filtering surgery on glaucoma

ZHAO Hai-xia, LU Bei, HUANG Yi-fei   

  1. Department of Ophthalmology, The General Hospital of PLA, Beijing 100853, China
  • Received:2003-12-12 Published:2004-08-25 Online:2004-08-25

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摘要： 目的观察青光眼滤过术的疗效。方法对50例(60眼)不同类型青光眼患者采用小梁切除术联合术中前房预置穿刺、使用丝裂霉素、巩膜瓣及结膜牢固缝合、术毕形成前房的治疗方法;术后随访1年。结果术后54眼眼压<21mmHg,6眼需用降眼压药将眼压控制在30mmHg以下;仅有2眼术后视力低于术前,其余均达到或超过术前视力;2眼发生结膜瓣创漏,2眼发生脉络膜脱离,经处理后恢复。结论青光眼滤过术可减少术后常见并发症,提高患者早期视力并使眼压恢复正常。

关键词: 青光眼, 滤过术, 并发症, 治疗

Abstract: ObjectiveTo investigate the effect of filtering surgery on glaucoma.Methods50 glaucoma cases (60 eyes) were underwent trabeculectomy, including paracentesis in advance, suturing of sclera flap and conjunctiva flap, using mitomycin (MMC) and forming anterior chamber as soon as finished operation. All cases were followed up 1 year.ResultsPostoperative IOP was lower than 21 mmHg in 54 eyes, 6 eyes were <30 mmHg when treated with drugs. After operation, there were only 2 eyes had lower vision, the others had higher vision. Two eyes had conjunctiva filtering, two eyes had choroidal separation, but they recovered after non surgical therapy.ConclusionFiltering surgery can decrease common complications, increase vision of early stage, and make IOP recovered to normal.

Key words: glaucoma, filtering surgery, complication, treatment