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[目的]观察采用全视网膜光凝术联合小梁切除术、MMC、视网膜周边冷冻术联合睫状体光凝术以及单纯睫状体光凝术3种方法对糖尿病视网膜病变引起的新生血管性青光眼(NVG)的临床疗效。[方法]39例39眼药物不能控制的NVG按病人屈光间质情况及病人体质状况,分别采用全视网膜光凝联合小梁切除术联合MMC9眼,采用视网膜周边冷冻术联合睫状体光凝术20眼,采用单纯睫状体光凝术10眼。随访并比较了术后10个月的眼压、视力、虹膜新生血管改变。[结果]3组病人术后10个月眼压均控制正常,无眼痛症状,无视力下降。第1组病人虹膜新生血管全部消退,第2组病人9例完全消退,11例虹膜表面及前房角新生血管部分消退或变细。第3组病人虹膜新生血管均未消退。[结论]3种不同的方法治疗新生血管性青光眼均可有效降低眼压,可以针对不同的病人选择不同的方法。
[Objective] To observe the effects of panretinal photocoagulation combined with trabeculectomy, MMC, peri-retinal cryotherapy combined with ciliary body photocoagulation and simple ciliary body photocoagulation on neovascular glaucoma caused by diabetic retinopathy (NVG) clinical efficacy. [Method] 39 cases of non-controllable NVG of 39 eyes were treated with panretinal photocoagulation combined with trabeculectomy and MMC9 eyes respectively according to the patient’s refractive status and patient’s physique. The retinal perimeter cryotherapy combined with ciliary body photocoagulation Twenty eyes were treated with simple ciliary body photocoagulation. Follow-up and compared intraocular pressure 10 months after surgery, visual acuity, iris neovascularization changes. [Result] The intraocular pressure of the three groups of patients were all normal after 10 months of operation, no symptoms of eye pain and no decrease of visual acuity. In group 1, the iris neovascularization subsided completely. In group 2, 9 patients completely regressed, and 11 cases of iris surface and anterior chamber angiocarcinoma subsided or thinned. Group 3 iris neovascularization patients did not subside. [Conclusion] Three different methods of treatment of neovascular glaucoma can reduce intraocular pressure effectively, and different methods can be chosen for different patients.