硅橡胶活门管前房植入术治疗新生血管性青光眼的临床研究

来源 :昌潍医学院学报 | 被引量 : 0次 | 上传用户:c_zhang08
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52例53只新生血管性青光眼用硅橡胶活门植入管作了板层巩膜瓣下前房植入术。术后经2~24月,平均8.94±6.28月的观察,术后3个月内的近期疗效,有71.69%(38只眼)获显效,11.32%(6只眼)为有效,术后近期内的有效及显效率共为83.01%。对术后近期获显效的37只眼经6~24月,平均10.2±5.97月的远期观察,其远期显效率为72.97%。手术失败的主要原因为Tenon氐囊囊肿,巩膜瓣周围瘢痕形成,植入管脱出以及虹膜睫状体炎。所用硅橡胶植入管有两种,一为水平小臂式,另一为鱼尾式。 52 cases of 53 neovascular glaucoma with silicone rubber valve implants lamellar scleral flap anterior chamber implantation. Postoperative 2 ~ 24 months, an average of 8. 94 ± 6. 28 months of observation, 3 months after the immediate effect, 71.69% (38 eyes) were effective, 11.32% (6 eyes) were effective, Within the effective and effective rate was 83.01%. The long-term apparent effective rate of long-term effective rate was 72.97% after long-term observation of 37 eyes in 6 to 24 months with an average of 10.2 ± 5.97 months. The main causes of surgical failure were Tenon’s cyst, scarring around the scleral flap, implantation of the implant, and iridocyclitis. Silicone rubber implants used in two, one for the level of arm type, and the other for the fish-tail.
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