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评价小梁切除术治疗 FHU继发性青光眼的远期疗效。方法 :回顾性调查于 1 994年 4月～ 1 999年 4月因 FHU继发性青光眼在我院住院行小梁切除术共 2 8例 ( 33眼 )中 ,追踪到的 1 2例患者 1 3眼 ,平均随访 31 .0 8个月。结果 :矫正视力手术前、后相比无显著性差异 ( P>0 .0 5 ) ,矫正视力进步 5眼 ( 38.46 % ) ,不变 8眼 ( 6 1 .5 4% )。手术前、后眼压具有显著性差异 ( P<0 .0 0 5 ) ,术后合并或不合并药物治疗眼压获得控制 1 2眼 ( 92 .31 % ) ,1眼 ( 7.6 9% )不能控制需再次手术治疗。KP复发频率手术前、后无显著性差异 ( P<0 .0 5 )。视野进步 7眼 ( 5 8.33% ) ,无变化 2眼 ( 1 6 .6 7% ) ,恶化 3眼 ( 2 5 % )。术中、术后无严重并发症。结论 :小梁切除术治疗 FHU继发性青光眼控制眼压和保存视野是安全有效的
To evaluate the long-term efficacy of trabeculectomy in the treatment of secondary glaucoma with FHU. Methods: A retrospective study was conducted in 28 patients (33 eyes) with trabeculectomy secondary to FHU secondary glaucoma in our hospital from April 1994 to April 1999. Tracing 12 patients 1 3 eyes, with an average follow-up of 31.08 months. Results: There was no significant difference between before and after corrected visual acuity (P> 0.05). The corrected visual acuity improved in 5 eyes (38.46%) and unchanged in 8 eyes (61.54%). The intraocular pressure before and after surgery had significant difference (P <0.05), and the intraocular pressure was controlled in 92 eyes (92.31%) with or without medication. One patient (7.6%) could not Control needs surgery again. KP recurrence frequency before and after surgery was no significant difference (P <0. 05). Seven fields (5 8.33%) were improved in field of vision, 2 eyes (16.76%) did not change and 3 eyes (25%) deteriorated. Intraoperative and postoperative no serious complications. CONCLUSION: Trabeculectomy for the treatment of secondary glaucoma in FHU is safe and effective in controlling IOP and preserving field of vision