摘要
目的对比观察玻璃体切除术中直视下睫状体光凝和引流阀植入治疗新生血管性青光眼(NVG)的临床疗效。方法回顾分析2014年5月~2019年1月在我院住院治疗的NVG患者32例(32眼)的临床资料。根据手术方式分为玻璃体切除术中直视下睫状体光凝术(A组)15例(15眼)和青光眼引流阀植入(B组)17例(17眼),比较2组患者术前和术后1、3、6个月眼压及视力情况。结果2组患者治疗后1、3、6个月眼压均较治疗前显著降低(P值均<0.05),A组治疗后1、3、6个月眼压与B组比较差异均没有统计学意义(P>0.05)。A组患者在术后早期视力改善率高于B组(P<0.05)。结论对于NVG需要玻璃体切除的患者同时行直视下睫状体光凝术在提高患者术后视力方面具有优势。
Objective To observe the curative effect of cyclophotocoagulation under direct vision of vitrectomy in the treatment of neovascular glaucoma(NVG)contrasting with the Ahmed value implantation.Methods Thirty-two eyes with NVG between May 2014 and January 2019 were analyzed retrospectively.According to the treatment methods,all patients were divided into group A(15 eyes,treated with cyclophotocoagulation under direct vision of vitrectomy)and group B(17 eyes,treated with Ahmed valve implantation).The changes of intraocular pressure(IOP)for 6 months and visual acuity were compared.Results The intraocular pressure of both groups were significantly lower after operation(P<0.05).There was no significant difference in postoperative IOP of 1 month,3 months and 6 months between the two groups.Improvement rate of visual acuity was significantly higher in group A than in group B(P<0.05).Conclusions Vitrectomy combined with cyclophotocoagulation contributes to improve visual acuity,and they can be used jointly when necessary.
作者
黄晓菁
黄盛梅
HUANG Xiaojing;HUANG Shengmei(Zhejiang Chinese Medical Unieversity,Hangzhou 310053,China;Department of Ophthalmology,Shanghai Gongli Hospital of Pudong New Area,Shanghai 200135,China)
出处
《中国眼耳鼻喉科杂志》
2020年第3期235-237,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
