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目的:比较巩膜袋内巩膜槽成形联合小梁咬切术同时应用粘弹剂与非应用粘弹剂的临床疗效.方法:对45例(45眼)原发性青光眼施行巩膜袋内巩膜槽成形联合小咬切术.其中闭角型青光眼33例(33眼),开角型青光眼12例(12眼):男19 例,女26例;年龄41岁~75岁,平均65.8岁,术前眼压22.38mmHg-40.18mmHg,平均25.88mmHg.随机分为粘弹剂组24例(24只眼),非粘弹剂组21例(21眼).结果:术后平均眼压:粘弹剂组10.23mmHg±5.31mmHg,非粘弹剂组7.10mmHg±9.42mmHg.随访时间3月～11月,平均8.7月,末次随访平均眼压:粘弹剂组11.20mmHg±7.5mmHg,2例(2眼)仍需要用药物控制眼压;非粘弹剂组13.35mmHg±9.44mmHg,4例(4眼)需用药物.术后并发症:粘弹剂组浅前房发生率明显低于非粘弹剂组(P<0.001)其他并发症两组无显著差异.结论:本术式是一种改良的滤过性手术,具有损伤小、安全,滤过通畅等优点,如同时使用适量的粘弹剂,可减少术后并发痘.
OBJECTIVE: To compare the clinical efficacy of scleral buckling with scleral buckling in both scleral pouch and simultaneous application of viscoelastic and non-applied viscoelastics.Methods: Forty-five eyes (45 eyes) with primary glaucoma Including 33 cases of angle closure glaucoma, 12 cases of open angle glaucoma (12 eyes): 19 males and 26 females, aged 41 years to 75 years (average 65.8 years), preoperative The intraocular pressure was 22.38mmHg-40.18mmHg with an average of 25.88mmHg.They were randomly divided into 24 cases (24 eyes) in the viscoelastic group and 21 cases (21 eyes) in the non-viscoelastic group.Results: The mean intraocular pressure Group 10.23mmHg ± 5.31mmHg, non-viscoelastic group 7.10mmHg ± 9.42mmHg. Follow-up time from March to November, an average of 8.7 months, the last follow-up average intraocular pressure: viscoelastic group 11.20mmHg ± 7.5mmHg, 2 cases (2 Eye) still need to control the intraocular pressure with drugs; non-viscoelastic group 13.35mmHg ± 9.44mmHg, 4 cases (4 eyes) need medication.Postoperative complications: viscoelastic group, the incidence of shallow anterior chamber was significantly lower than non-stick There was no significant difference in the other complication between the two groups (P <0.001) .Conclusion: This procedure is a modified filtration surgery with the advantages of less damage, safety and smooth filtration. Projectile, can reduce postoperative and Pox.