摘要
目的探讨小梁切除术中改良巩膜瓣的制作方法,观察术后巩膜瓣的大小及缝合与房水滤过量和滤过泡形成的关系。方法对11例(20眼)不同类型的青光眼行小梁切除,术中制作4mm×6mm巩膜瓣,巩膜瓣的后缘与巩膜床间作3针跨度为4mm的闭合式缝合,并形成前房,观察术后早期房水滤过量和滤过泡的形成。结果术后随访半年,术后末次随访平均眼压(8.53±2.55)mmHg,与术前平均眼压(24.9±15.36)mmHg比较,差异有统计学意义(t=4.889,P=0.0001)。滤过泡:7d内Ⅰ型15眼,7d后～半年Ⅰ型13眼。术后均无前房形成迟缓。结论小梁切除术中大巩膜瓣的制作及闭合式缝线技术,术后早期前房自然恢复快,功能性滤过泡形成早,眼压控制效果明显。
Objective To observe the Clinical effect of big sclera flap on the trabeculectomy. Methods 11 cases （ 20 eyes） of glaucoma accepted the trabeculectomy with big sclera flap （4 × 6 mm）, and the sclera flap was sutured by three needles （span 4 mm）. Then the anterior chamber was shaped. Results The postoperative follow-up period was six months. There was significant statistical difference between preoperative and postoperative IOPs （8.53±2.55 mmHg VS 24.9 ±15.36 mmHg） （t =4. 889,P = 0.0001）.Filtering bleb：l 5 eyes of Ⅰ type in 7 days, 13 eyes of Ⅰ type in six months. All Cases had normal anterior chamber. Conclusions The trabeculectomy with big sclera flap can effectively accommodate IOP,reduce the occurrent of postoperative shallow anterior chamber.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第9期718-720,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
