摘要
目的观察在巩膜瓣可拆缝线小梁切除术全过程滤过试验的应用及效果。方法在64例(78眼)巩膜瓣可拆缝线小梁切除术全过程中应用滤过试验。即小梁切除、巩膜瓣缝合、结膜缝合后,经前房穿刺口各进行1次前房注水。通过全过程滤过试验来检验滤过情况并加以调整。观察术后前房深度,眼压,滤过泡。结果术后无发生持续性浅前房者。术后第7天眼压在11.7~18.0mmHg之间。术后7~14天,全部病例拆除可拆缝线,眼压在9.8—14.8mmHg之间。追踪观察6月,形成功能性滤过泡66眼(84.62%)。结论在巩膜瓣可拆缝线小梁切除术全过程应用滤过试验,可以有效预防术后浅前房的发生,充分发挥可拆缝线的作用,提高手术的质量和安全性。
Objective To observe the application and effect of filtration test throughout trabeeulectomy with adjunctive scleral flap suture. Methods 78 eyes(64 patients) underwent the filtration test throughout trabeculeetomy,That was after the resection of trabecular, the suture of scleral flap and the sutre of conjunctival flap ,water was injected into anterior chamber to check and adjust the situation of the filtration according to the test. Results There was no postoperative shallow anterior chamber.66 of 78 eyes formed the functional filtering blebs after six months. Conclusions The filtration test throughout trabeculectomy can effectively prevent the incidence of shallow anterior chamber,improve the quality and the safety of the operation.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第3期205-206,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries