摘要
目的探讨联合睫状体上腔引流的小梁和巩膜切除(LSEVDS)治疗无晶状体和人工晶状体眼青光眼的效果。方法采用回顾性方法观察103例(109眼)无晶状体和人工晶状体眼的青光眼患者。26例(26眼)无晶状体眼和34例(36眼)人工晶状体眼患者行LSEVDS,另外19例(20眼)无晶状体眼和24例(27眼)人工晶状体眼患者行传统小梁切除术。平均随访12.6个月,比较了术后视力、眼压(IOP)、视野、前房深度、滤过泡形态、脉络膜脱离、前房出血等情况。结果术后12个月,LSEVDS使无晶状体眼和人工晶状体眼的眼压明显下降,降眼压效果比小梁切除术更显著,其差异有统计学意义(P<0.05)。LSEVDS的并发症包括前房积血(11.2%)、脉络膜脱离(6.5%)、低眼压(19.2%)和浅前房(11.2%),均于2周内好转。术后患者视力的变化无统计学意义。结论在治疗无晶状体和人工晶状体眼青光眼方面,LSEVDS的效果优于传统小梁切除术。
Objective Glaucoma of aphakia or pseudophakia belongs to refractory glaucoma. This study was to estimate the effect of limbosclerectomy with valve drainage through supraciliaris （LSEVDS） for patients with aphakic and pseudophakic glaucoma. Methods 103 cases （109 eyes） with aphakic and pseudophakic glaucoma were respective reviewed, of whom 45 （46 eyes） were aphakic and 58 （63 eyes） were pseudophakic. LSEVDS were performed on 26 aphakic （26 eyes） and 34 pseudophakic （36 eyes）cases and the classic trabeculectomy were performed on other 19 aphakic （20 eyes） and 24 pseudophakic （27 eyes） patients. The visual acuity, intraocular pressure （IOP）, visual field, filtering bleb type, anterior chamber angle, anterior chamber depth and other complications were followed-up for 12～30 months in all patients. Results At the 12th month after surgery, the IOP decreased from （25.85±4.78） mmHg to （12.11±4.07） mmHg in aphakia and from （29.58±8.08）mmHg to （13.44±5.29） mmHg in pseudophakia respectively in LSEVDS group, while the IOP was declined from （25.40±5.02） mmHg to （18.00±4.28） mmHg in aphakia and from （25.62±6.08） mmHg to （18.63±3.90） mmHg in pseudophakia in classic trabeculectomy group, showing both operative procedures could significantly reduce the IOP but had a more reduction value in LSEVDS group then classic trabeculectomy （P 〈 0.05）. The complications of LSEVDS include hyphema （11.2%）, choroidal detachment （6.5%）, hypotonia （19.2%） and shallow anterior chamber （11.2%）, but all the complications improved within 2 weeks. The visual acuity did not improved after operations statistically. Conclusion LSEVDS is more effective than classic trabeculectomy in managing aphakic and pseudophakic glaucoma.
出处
《眼科研究》
CSCD
北大核心
2006年第2期199-202,共4页
Chinese Ophthalmic Research
