论文部分内容阅读
目的探讨青光眼小梁切除术后高眼压拆线降眼压的方法及疗效。方法青光眼标准小梁切除手术后滤过泡扁平或失败、高眼压患者,经眼球按摩或/加调整缝线拆除后滤泡仍不隆起、眼压仍高者37例(44只眼),平均眼压(28.3+7.4)mmHg,采用一次性1ml注射器针头或显微剪拆线加分离联合眼球按摩,随访3～24月。结果35例(42只眼)眼压控制在正常范围,最后一次拆线处理3月后的眼压平均(16.4±3.5)mmHg。经t检验,眼压降低有统计学显著性意义(t=2.89,P<0.01),无严重并发症发生。结论一次性注射器针头或/和显微剪拆线加球结膜分离联合眼球按摩,是小梁切除术后失败患者简单、安全、有效和实用的拆线降眼压方法,适用于广大的基层医院。
Objective To investigate the method and effect of intraocular hypertension (IOP) and ocular hypertension (IOP) after glaucoma trabeculectomy. Methods After the standard trabeculectomy of glaucoma, the filtration bleb was flat or failed. In the patients with high intraocular pressure, the follicles did not bulge after the ocular massage or / or adjustment suture removal. The intraocular pressure was still high in 37 cases (44 eyes) The average intraocular pressure (28.3 +7.4) mmHg, using a disposable 1ml syringe needle or microdissection plus combined eyeball massage, followed up for 3 to 24 months. Results Intraocular pressure was controlled in the normal range in 35 cases (42 eyes), and the intraocular pressure was (16.4 ± 3.5) mmHg after the last suture removal treatment in 3 months. T test, IOP decreased statistically significant (t = 2.89, P <0.01), no serious complications. Conclusions Disposable syringe needle and / or microsurgical dissection plus conjunctival separation combined with eyeball massage is a simple, safe, effective and practical method for stitching and lowering intraocular pressure in traumatic patients after trabeculectomy. It is suitable for the majority of primary hospital .