摘要
各类青光眼33例45眼，其中包括曾经手术失败，葡萄膜炎继发青光眼，新生血管性青光眼及青少年青光眼等。具有失败高危因素12例18眼。以穹隆部为基底的结膜瓣，在术中利用25mg／ml的5一氟尿嘧啶（5－Fu）敷贴5分钟，术后只在结膜下注射该药4次，术后随访（平均6．5月）复查41眼（91．1％），眼压≤2．79kPa（1kPa＝7．5mmHg），有4眼发生角膜上皮缺损，1眼发生黄斑出血，1眼发生短暂前房积血。表明此种术中与术后使用5－Fu相结合的方法可适用于青光眼滤过手术。
33 cases(45 eyes)of various types of glaucoma, including 12 cases (18 eyes)with high risk of failure were operated with fornix-based conjunctival flap and intraoperative application of 5-fluorouracil 25mg/ml for 5-Fu was reduced to 4 the.,Follow-up at average 6. 5 months after operation showed the intraocular pressure was kept≤2.79kPa in 41 eyes (91. 1% ).As to the relatal complications, there occurred only corneal staining with fluorescein in 4 eyes, macular hemorrhage in 1 eye,and a transient hyphema in 1 eye. The strategy of combined intraopetiove and postoperative use of 5-Fu seemed quite advisible in filtering surgery.
出处
《眼外伤职业眼病杂志》
北大核心
1997年第2期100-101,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
