论文部分内容阅读
本文在９３至９４近１年间观察５３例青光眼病人的抗青光眼术中运用丝裂霉素的情况，并随访１年。这组病人有闭角性青光眼、外伤性青光眼、继发性青光眼、再手术者等。我们发现丝裂霉素使用后能提高抗青光眼成功率，术后无炎症、巩膜坏死、浅前房等并发症。但是较显著的副作用是２２％的病人发生低眼压（眼压＜０．５３ｋｐａ）。低眼压发生时伴视力下降，但可在３月之后逐步自行恢复不留损害。不需特殊处理。本组结果说明：选择性使用丝裂霉素，正确使用方法，可提高小梁切除术成功率而减少其并发症。
This article from 93 to 94 nearly 1 year observed 53 cases of glaucoma patients with anti-glaucoma surgery mitomycin cases, and follow-up of 1 year. This group of patients with angle-closure glaucoma, traumatic glaucoma, secondary glaucoma, re-operation and so on. We found that the use of mitomycin can improve the success rate of anti-glaucoma, postoperative inflammation, scleral necrosis, shallow anterior chamber and other complications. However, the more significant side effect was the hypotensive (IOP <0.53 kPa) in 22% of patients. Occurrence of hypotony with decreased visual acuity, but after 3 months to gradually restore itself without leaving damage. No special treatment required. This group of results shows that: the selective use of mitomycin, the correct use of methods, can improve the success rate of trabeculectomy and reduce its complications.