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目的观察睫状体及周边视网膜冷凝联合复合式小梁切除术治疗晚期新生血管性青光眼的效果。方法对56例(56眼)晚期新生血管性青光眼施行睫状体及周边视网膜冷凝联合复合式小梁切除术,术中应用丝裂霉素C及可调整缝线。术后观察眼压,结膜滤过泡及眼前段反应等。随访6～12月。结果随访时50例术后眼压6～21mm Hg(89.28%),5例用1～2种降眼压药物治疗眼压<30mm Hg;1例手术失败。本组病例形成功能性滤过泡50例。占89.28%。术中有4例前房少量积血,术后浅前房2例,无眼球萎缩。结论睫状体及周边视网膜冷凝联合复合式小梁切除术为一种较安全而有效的综合性治疗晚期新生血管性青光眼的方法。
Objective To observe the effect of ciliary body and peripheral retinal condensation combined with trabeculectomy in the treatment of advanced neovascular glaucoma. Methods 56 cases (56 eyes) of advanced neovascular glaucoma underwent ciliary body and peripheral retinal condensation combined with trabeculectomy, mitomycin C and adjustable sutures. Postoperative intraocular pressure, conjunctival filtration bleb and anterior segment reaction. Follow-up from 6 to December. Results Fifty patients underwent follow-up with an intraocular pressure of 6-21 mm Hg (89.28%). Five patients underwent intraocular pressure (IOP) reduction of <30 mm Hg with one or two antihypertensive drugs. One patient had failed surgery. The group formed a case of functional filtration bleb 50 cases. Accounting for 89.28%. There were 4 cases of intraoperative anterior chamber hemorrhage, 2 cases of shallow anterior chamber, no atrophy. Conclusion Ciliary body and peripheral retinal condensation combined with trabeculectomy is a safe and effective method for the treatment of advanced neovascular glaucoma.