摘要
目的:观察部分睫状体冷冻联合小梁切除及丝裂霉素C治疗难治性青光眼的临床疗效。方法:分析2007-10—2009-02月收治的148例(166眼)难治性青光眼的临床资料。术前三天常规点眼,术前用高渗剂降低眼压。常规行球后及眼轮匝肌浸润麻醉,先行睫状体冷冻,再行显微小梁切除术加丝裂霉素C,术后随访3个月。结果:术后眼压在6～21mmHg者101眼;在22～30mmHg者46眼,其中39眼经眼球按摩可降至21mmHg以下,7眼经滴用噻吗心安眼水可降至21mmHg。眼压<6mmHg者11眼。眼压>30mmHg者8眼。结论:部分睫状体冷冻联合小梁切除及丝裂霉素C治疗难治性青光眼,大多数可取得较好治疗效果。
Objective： To investigate the frozen part of the ciliary body combined with trabeculectomy and mitomycin C, for refractory glaucoma clinical effect. Methods：Refractory glaucoma clinical data for 148 cases from oct. 2007 to Feb. 2009 were analyzed. Preoperative conventional three-point eyes and preoperative hypertonic agents were used to reduce intraocular pressure. Conventional line after the ball and the orbicularis oculi muscle infiltration anesthesia, cyclodialysis were first frozen, then treated with mierosurgical trabeculectomy plus mitomycin C, Patients were followed up for 3 months. Results：The postoperative IOP in 6 ～ 21mmHg was 101 eyes;22～30mmHg was 46 eyes,one of 39 eyes with eyeball massage can be reduced to 21mmHg below,7 eyes treated with the drops of timolol timolol could be reduced to 20mmHg. IOP〈6mmHg De was eyes. Intraocular pressure〉30mmHg was 8 eyes. Conclusion：For frozen part of the ciliary body combined with trabeculectomy and mitomycin C in the treatment of refractory glaucoma, the majority of refractory glaucoma can obtain a better therapeutic effect.
出处
《河北北方学院学报（医学版）》
2009年第5期51-52,共2页
Journal of Hebei North University:Medical Edition
