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目的探讨持续高眼压下急性闭角型青光眼小梁切除术的临床疗效。方法回顾分析40例患者的临床资料。结果所有手术均顺利完成,手术过程中均未出现暴发性脉络膜出血、玻璃体脱出、虹膜脱出无法还纳等并发症,未见恶性青光眼发生。术后眼压控制≤21mmHg32例,用抗青光眼药局部点眼可控制5例,再次手术治疗3例;术后视力提高21例,视力不变11例,视力下降8例。术后瞳孔区渗出7例,出现浅前房6例,反应性虹膜睫状体炎9例,上述患者经保守对症处理后好转。结论急性闭角型青光眼持续高眼压下的小梁切除术安全有效,值得临床应用。
Objective To investigate the clinical efficacy of acute angle-closure glaucoma trabeculectomy under continuous ocular hypertension. Methods The clinical data of 40 patients were retrospectively analyzed. Results All the operations were successfully completed. No episodes of fulminant choroidal hemorrhage, vitreous prolapse and iris prolapse were found. No malignant glaucoma occurred. Postoperative intraocular pressure control ≤ 21mmHg32 cases, with the local anti-glaucoma eye control 5 cases, reoperation in 3 cases; 21 cases of visual acuity improved, visual acuity in 11 cases, visual acuity decreased in 8 cases. Postoperative pupil area exudate in 7 cases, 6 cases of shallow anterior chamber, reactive iridocyclitis in 9 cases, the above patients improved after symptomatic treatment. Conclusions Acute angle-closure glaucoma is a safe and effective trabeculectomy under ocular hypertension. It is worthy of clinical application.