论文部分内容阅读
目的观察巩膜瓣可拆除缝线小梁切除术联合应用丝裂霉素C的远期疗效和术后早期并发症。方法65例(86眼)采用巩膜瓣可拆除缝线小梁切除术联合应用丝裂霉素C,同期46例(50眼)采用传统小梁切除术,比较手术后两组早期的低眼压、浅前房、脉络膜渗漏性脱离、黄斑水肿等并发症和远期的眼压控制效果。结果一年后的平均眼压,A组(17.3±6.41)mm Hg,B组(16.6±9.11)mm Hg,1年后两组间平均眼压的差异无统计学意义。术后早期浅前房A组11例(11眼),B组14例(14眼),浅前房发生率两组间的差异有统计学意义。A组未发生脉络膜脱离,B组发生3例(3眼),两组病例均未发生低眼压性黄斑病变和睫状环阻塞性青光眼。结论巩膜瓣可拆除缝线小梁切除术联合应用丝裂霉素C能有效地控制术后早期并发症,远期控制眼压效果与传统小梁切除无明显差别。
Objective To observe the long-term curative effect and early postoperative complications of scleral flap removal of suture combined with mitomycin C in trabeculectomy. Methods Sixty-five eyes (86 eyes) were treated with scleral flap removal combined with mitomycin C, and 46 cases (50 eyes) underwent trabeculectomy at the same period. The early postoperative IOP , Shallow anterior chamber, choroidal leakage, macular edema and other complications and long-term intraocular pressure control effect. Results The mean intraocular pressure (IOP) after one year was 17.3 ± 6.41 mm Hg in group A and 16.6 ± 9.11 mm Hg in group B, respectively. There was no significant difference in IOP between two groups after 1 year. In the early postoperative period, there were 11 cases (11 eyes) in the shallow anterior chamber and 14 cases (14 eyes) in the B group. There was significant difference between the two groups in the incidence of the shallow anterior chamber. There was no choroidal detachment in group A, 3 cases in group B (3 eyes), and no hypotony macular degeneration and ciliary loop obstructive glaucoma in both groups. Conclusions Scleral flap removable suture trabeculectomy combined with mitomycin C can effectively control the early postoperative complications, long-term control of intraocular pressure and trabeculectomy with no significant difference.