摘要
目的:观察两种手术方法对新生血管性青光眼(NVG)的治疗效果。方法:对我院2007年3月-2012年5月采用青光眼引流装置Ahmed青光眼阀(AGV)及前部视网膜冷凝联合小梁切除术30例NVG病历进行回顾性分析。其中10例行AGV植入术,20例行前部视网膜冷凝联合小梁切除术,比较术后两组视力、眼压及并发症的情况。结果:两组间视力比较无显著性差异(P>0.05)。两组术前眼压与术后各组眼压相比均有显著下降。AGV植入组与前部视网膜冷凝联合小梁切除术后1周眼压比较有显著差异(P<0.05),术后1个月与3个月眼压比较,无显著性差异(P>0.05)。两组术后早期反应及并发症中AGV植入组眼球疼痛、角膜水肿的发生率显著低于前部视网膜冷凝联合小梁切除术(P<0.05)。结论:AGV植入组术及前部视网膜冷凝联合小梁切除术对于治疗新生血光性青光眼都是有效的方法,但前部视网膜冷凝联合小梁切除术因其是破坏性手术,仅适用于晚期青光眼和绝对期青光眼。AGV植入组术对有一定视功能的患者是一种较为安全、有效的治疗方法。
Objective： To evaluate two methods of operation for neovascular glaucoma （NVG） effect. Methods： The hospital from March 2007 to May 2012 with Ahmed glaucoma valve glaucoma drainage devices （AGV）, and Anterior retina condensation combined with trabeculectomy 30 cases NVG medical records were reviewed retrospectively. AGV implantation in 10 cases of which 20 cases Anterior retina condensation combined with trabeculectomy, compared visual acuity, postoperative IOP, and concurrent disease. Results：Acuity：no significant difference （P^-0. 05）. The two preop- erative and postoperative IOP in each group were significantly lower in comparison. AGV implant group and Anterior retina condensation combined with trabeeulectomy lOP after 1 week there was a significant difference （P^0.05）, after January and March compared intraocular pressure, no significant difference （P^0. 05）. complications in the early re- sponse and eye pain AGV implantation group, the incidence of corneal edema was significantly lower than Anterior ret- ina condensation combined with trabeculectomy （P%0. 05）. Conclusion： AGV implantation patients in group and Ante- rior retina condensation combined with trabeculectomy carnage for the treatment of glaucoma are new and effective method, but because Anterior retina condensation combined with trabeculectomy it is a destructive operation, only for advanced glaucoma and absolute glaucoma. AGV implant surgery on a visual function in some patients is a more safe and effective treatment.
出处
《医学理论与实践》
2013年第18期2396-2398,共3页
The Journal of Medical Theory and Practice
