摘要
目的观察管状视野的晚期青光眼患者术后视野与术后眼压的关系。方法我们对收治的32例(44眼)患者根据不同的术后眼压值分为3组,A组:15眼,眼压高于18 mmHg;B组:15眼,眼压介于18～12 mmHg之间;C组:14眼,眼压介于12～5 mmHg之内。比较三组受试者的视力、MD值及术后满意度。结果A组患者手术前后视野平均缺损(MD)仍有下降,差异有显著性意义,说明术后眼压在18 mmHg以上视野仍会继续缺失。B组中患者手术前后视野平均缺损(MD)有所提升,但无显著性意义,说明降低眼压对部分青光眼患者可以减缓视野的恶化和青光眼进展。C组中患者手术前后视野平均缺损(MD)有明显回升,且差异有显著性意义,说明术后将眼压控制在12～5 mmHg之内对改善晚期青光眼患者术后视野有明显作用。结论晚期青光眼患者最好将眼压控制在12～5 mmHg之内,对晚期青光眼患者的视野变化有指导性作用。
Objectives To observe the relation of postoperation visual field and postoperation IOP of advanced glaucoma with tubular visual field. Methods 32 patients （44 eyes） were divided into three groups by postoperation IOP. Group A： 15 eyes, postoperation IOP 〉 18 mmHg, group B： 15 eyes, postoperation IOP is between 18 mmHg and 12 mmHg, group C： 14 eyes, postoperation IOP is between 12 mmHg and 5 mmHg. The vision, MD and postoperative satisfaction among three groups of subjects were compared. Results Group A： the MD of postoperation descend, and the discrepancy is statistically significant, which means visual field is still decreasing even if postoperation IOP 〉 18 mmHg, group B： the MD of postoperation is lightly promoting, and the discrepancy is not statistically significant, which means the depression of postoperation IOP is partly helpful to the aggravation of visual field and develop- ment of advanced glaucoma, group C： the MD of postoperation is obviously promoting, and the discrepancy is statistically significant, which means controlling the postoperation IOP within 12 ~ 5 mmHg can obviously promote the visual field of advanced glaucoma. Conelusions We should control the postoperation IOP of advanced glaucoma within 12 - 5 mmHg, and testing visual field regularly is instructive to monitoring the variation of visual field of advanced glaucoma.
出处
《辽宁医学院学报》
CAS
2009年第5期420-423,共4页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
青光眼
管状视野
MD
glaucoma
tubular visual field
MD
