摘要
目的观察改良的后巩膜切除术对恶性青光眼治疗的临床效果。方法对2006年5月至2010年6月在邢台眼科医院收治的恶性青光眼并行改良后巩膜切除术患者34例38只眼。观察手术前后视力、眼压、前房深度及并发症情况，并进行统计学处理。术后随访6—24个月。结果手术前后0．02以上视力比较，差异有统计学意义（P〈0．05），手术后o．02以上视力者增加13例。治疗前眼压（34．15±8．5）mmHg降低为治疗后平均眼压（17．8±4．7）mmHg，经统计学处理术前、术后眼压差异具有统计学意义（t=P〈0．01）前房深度由术前（0．956±0．37）mm加深为（1．83±0．41）mm，经统计学处理术前、术后前房深度差异具有统计学意义，（t=P〈0．05）。结论改良的后巩膜切除术能够有效地加深前房，破坏玻璃体腔水囊，并有外引流作用，可以有效的降低眼压，提高患者的视功能，并具有手术安全性高、并发症少、易普及等优点，是治疗恶性青光眼患者的一种安全有效的手术方法。
Objective To observe the clinical results of modified resection of the posterior sclera to treat ciliary block glaucoma. Methods Thirty-four patients （38 eyes） with ciliary block glaucoma were treated with resection of the posterior sclera. Visual acuity, intraocular pressure, anterior chamber depth and complications were contrasted before and after surgery. The followed-up time was 6-24 months. Results Visual acuity after surgery significantly improved compared with the one before surgery （P 〈0.05）. Visual acuity increased more＇ than 0.02 in 13 cases. There was statistical difference between the IOP before treatment （34.15±8.5mmHg） and after treatment （17.8±4.7mmHg） （P 〈0.01）. The depth of anterior chamber also had significant difference between before （0.956±0.37mm） and after surgery （1.83±0.41mm） （P 〈0.05）. Conclusions The treatment of modified resec- tion of the posterior sclera can effectively reduce IOP and improve visual function through deepening anterior chamber, destructing the vitreous cavity, and external drainage. The modified resection of the posterior sclera with few complications, and the advantages of easy to spread is a safe and effective method to treat malignant glaucoma.
出处
《中国实用眼科杂志》
CSCD
北大核心
2012年第5期599-601,共3页
Chinese Journal of Practical Ophthalmology
关键词
改良后巩膜切除
恶性青光眼
浅前房
Modified resection of the posterior sclera
Malignant Glaucoma
Shallow anterior chamber
