论文部分内容阅读
目的观察小梁切除术中改变巩膜瓣厚度及缝合位置治疗开角型青光眼的效果。方法对62例80眼开角型青光眼行小梁切除术,术中作2/3厚度板层巩膜瓣,深至棕黑板层,缝合位置上移1mm;随访2～3年,观察滤过泡和眼压。结果 80眼中,有功能弥散滤过泡64眼,有功能扁平滤过泡12眼;无功能包裹性泡4眼,瘢痕化无泡0眼,术后7d眼压平均为7.8mmHg,术后24个月眼压平均为16.6mmHg。结论小梁切除术中改良巩膜瓣厚度及缝合位置,可减少滤过道粘连瘢痕化,维持长期较好的降眼压效果。
Objective To observe the effect of changing scleral flap thickness and suture position on open angle glaucoma during trabeculectomy. Methods Sixty-two eyes of 80 open-angle glaucoma underwent trabeculectomy, and 2/3 of the scleral flap was deep intracortical to the brown-black plate. The suture location was shifted 1mm. The follow-up was 2 to 3 years. And intraocular pressure. Results Among the 80 eyes, there were 64 functional diffuse blebs, 12 functional flat blebs, 4 non-functionally wrapped blebs and 0 scar scar. The intraocular pressure was 7.8 mmHg at 7 days after operation, Month intraocular pressure average 16.6mmHg. Conclusions The modified scleral flap thickness and suture position during trabeculectomy can reduce the scarring of adhesion tract adhesions and maintain long-term good IOP lowering effect.