摘要
【摘要】目的探讨不同微创手术方式对恶性青光眼的治疗效果。方法对2011年8月至2012年5月在成都爱尔眼科医院就诊的6例6只眼恶性青光眼的临床资料及手术方式、术后效果进行回顾性分析。结果6只眼有晶状体眼恶性青光眼经药物治疗无效，给予个性化微创手术治疗。术前视力：LP-0．6，眼压23～60mmHg。术后随访8—14月，术后视力0．25～1．0，眼压10．7—20mmHg，前房深度2．11-4．60mm。结论术前充分评估患者病情，制定安全有效的个体化微创手术方案，前段玻璃体切割及后囊切开是非常关键的。1．8mm同轴微切口白内障超声乳化（Coaxial Micro—incision Cataract Surgery，C—MICS）联合经25G前段玻璃体切割微创手术损伤小，安全性高，且M160人工晶状体10°成角更有利前房加深。
Objective To report different minimally invasive surgical approaches in the management of malignant glaucoma. Methods Retrospective analysis clinical data, operation methods, post- operative effects for 6 cases of malignant glaucoma. Results Six cases （6 eyes） of malignant glaucoma in phakic eyes were experienced minimally invasive surgery after invalid pharmacotherapy. The visual acuity was between LP-0.4, the intraocular pressure was between 23.0-60.0mmHg before sur- gery. Patients were followed up for 8-14 months. The visual acuity was between 0.25-1.0, the intra- ocular pressure was between 10.7-16.0mmHg after surgery. And anterior chamber was shaped to 2.11-4.60mm. Conclusions It is necessary to estimate illness course, clinical symptoms and sighs before surgery. And make plan for simple, safe, effective, personalized operation. The point is recognized that anterior vitrectomy combined with posterior capsulotomy is importance in the management of complex and stubborn cases. With sutureless incision, little surgery induced astigmatism, little cor- neal endothelium damage, safe in operation, 10° angle deepen anterior chamber, the minimally inva- sive surgery such as C-MICS （1.8rnm） combined with 25-gauge anterior vitrectomy is an ideal therapy for malignant glaucoma.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第12期1605-1608,共4页
Chinese Journal of Practical Ophthalmology
关键词
恶性青光眼
1
8mm同轴微切口超声乳化
25G前段玻璃体切割
微创
Malignant glaucoma
1.8mm coaxial micro-incision cataract surgery
25-gauge anterior segment vitrectomy
Minimally invasive
