论文部分内容阅读
采用改良式垂直小梁切除术联合巩膜瓣松解缝线,对27例30只青光眼疗效观察,平均随访6.3个月(3～12个月)。平均眼压从术前的6.17±1.72kPa 下降到术后的1.86±0.34kPa,与同期随机分组的青光眼常规小梁切除术病例28例30只眼进行对照,眼压控制率较高(80%:60%)。术后前房形成及功能性滤过泡均比对照组高。并且术后并发症:诸如浅前房、前房出血、脉络膜脱离、晶体混浊等明显减少。本研究表明,改良式垂直小梁切除术联合巩膜瓣松解缝线具有促进术后早期前房形成,辅助长期滤过作用,对前房扰动少等优点,特别适合于浅前房的原发性闭角型青光眼及小视野青光眼的手术治疗。
Using modified vertical trabeculectomy combined with scleral loosening suture, the curative effect of 27 cases of 30 glaucoma was observed with an average follow-up of 6.3 months (range, 3-12 months). The average intraocular pressure decreased from 6.17 ± 1.72 kPa before operation to 1.86 ± 0.34 kPa postoperatively, which was compared with 30 eyes of 28 cases of conventional trabeculectomy in glaucoma at the same period. The intraocular pressure control rate was high (80% : 60%). Postoperative anterior chamber formation and functional filtration were higher than the control group. And postoperative complications: such as shallow anterior chamber, anterior chamber hemorrhage, choroidal detachment, crystal opacity significantly reduced. This study shows that modified vertical trabeculectomy combined scleral loosening suture has the advantages of promoting early postoperative anterior chamber formation, auxiliary long-term filtration, less disturbance to the anterior chamber, especially suitable for shallow anterior chamber of the primary Surgical treatment of angle-closure glaucoma and small field glaucoma.