摘要
目的分析研究玻璃体切除术联合睫状体光凝治疗外伤性青光眼的价值及对并发症发生存在的影响。方法该研究中的观察对象均方便选自于在该院接受治疗的外伤性青光眼患者中,70例患者的入院时间均在2013年9月—2017年3月期间,采用红蓝球分组的方式将上述患者分为例数相同的两组,即对照组(35例)与观察组(35例),分别给予上述患者玻璃体切除术联合经巩膜睫状体光凝治疗与玻璃体切除术联合睫状体光凝治疗。对两组患者的视力和眼压变化情况进行比较,同时分析两组患者的术后并发症发生情况。结果观察组患者的视力提升占比(74.29%)明显较对照组(45.71%)高,差异有统计学意义(χ~2=5.95,P=0.01);观察组患者的术后眼压(15.51±2.21)mmHg、末次随诊眼压(16.68±2.96)mmHg同对照组(17.75±3.06)mmHg、(20.33±2.67)mmHg相比,均明显较低,经检验,差异有统计学意义(t=3.51、5.42,P<0.05);观察组患者的术后并发症发生率(14.29%)同对照组相比,差异有统计学意义(t=4.79,P<0.05)。结论玻璃体切除术联合睫状体光凝治疗外伤性青光眼的临床疗效显著。
Objective To analyze the value of vitrectomy combined with ciliary body photocoagulation in the treatment of traumatic glaucoma and its influence on the occurrence of complications. Methods The subjects in this study were selected from the patients with traumatic glaucoma who were treated in our hospital. The admission time of 70 patients was from September 2013 to March 2017, and the red and blue balls were grouped. The above patients were divided into two groups with the same number of cases, namely the control group (35 cases) and the observation group (35 cases). The patients were given vitrectomy combined with transscleral ciliary photocoagulation and vitrectomy combined with ciliary body photocoagu,lation treatment. The changes of visual acuity and intraocular pressure were compared between the two groups, and the postoperative complications of the two groups were analyzed. Results The proportion of visual acuity in the observation group was significantly higher (74.29%) than that in the control group (45.71%)(X^2=5.95,P<0.05). The postoperative in,traocular pressure (15.51±2.21)mmHg was observed in the observation group. The last follow -up intraocular pressure (16.68±2.96)mmHg was significantly lower than that of the control group (17.75±3.06)mmHg,(20.33±2.67)mmHg. After testing(t=3.51,5.42, P<0.05);the postoperative complication rate of the observation group (14.29%) was significantly lower than that of the control group (X^2=4.79 P<0.05). Conclusion The clinical efficacy of vitrectomy combined with ciliary body photocoagulation for traumatic glaucoma is significant.
作者
王晓虎
WANG Xiao-hu(Department of Ophthalmology, Linyi Traditional Chinese Medicine Hospital, Linyi, Shandong Province, 276002 China)
出处
《中外医疗》
2019年第8期99-101,共3页
China & Foreign Medical Treatment
关键词
玻璃体切除术
睫状体光凝
外伤性青光眼
并发症
Vitrectomy
Ciliary body photocoagulation
Traumatic glaucoma
Complications
