摘要
目的探讨持续性高眼压状态下手术治疗原发性急性闭角型青光眼的安全性及治疗效果。方法选择2005年1月-2009年11月行小梁切除术治疗的原发性急性闭角型青光眼患者118例(133眼),按术前眼压水平分为高眼压组(≥5.3kPa)和对照组(<5.3kPa)。对2组术前后视力、眼压、滤过泡、前房、手术并发症和手术成功率进行比较。结果术后1周,高眼压组和对照组眼压、视力均得到不同程度地恢复,2组比较差异无统计学意义(P>0.05);随访6个月,2组术后前房深度、滤过泡形态及并发症发生情况比较,差异无统计学意义(P>0.05)。结论原发性急性闭角型青光眼患者持续高眼压状态下施行小梁切除术是必要、可行且安全有效的。
Objective To explore the safety and effectiveness of surgical treatment of glaucoma under the condition of intraocular hypertension. Methods One hundred and eighteen cases （133 eyes） of primary acute angle - closure glaucoma were selected and were divided into 2 groups by the preoperational intraocular pressure value： the high intraocular pressure group （intraocular pressure ≥ 5.3kPa） and control group （intraocular pressure 〈 5.3kPa）. The visual acuity, filtering bleb, anterior chamber, intraocular pressure, complications after operation and surgery outcome of both groups were compared. Results One week after operation, visual acuity and intraocular pressure of two groups were improved more or less and there was no significant difference between two groups. Followed up for 6 months,there were no significant differences in the filtering bleb, anterior chamber and complications between two groups. Conclusion Trabeculectomy for primary acute angle - closure glaucoma with persistent high intraocular pressure is safe and effective.
出处
《河北医科大学学报》
CAS
2011年第2期172-174,共3页
Journal of Hebei Medical University
关键词
青光眼
闭角型
高眼压
小梁切除术
glaucoma, angle -closure
ocular hypertension
trabeculectomy
