摘要
目的 :评价经后路房水引流物植入手术治疗复杂性青光眼的效果。方法 :对 17例复杂性青光眼进行了经睫状体沟或睫状体扁平部房水引流物植入手术治疗 ,并进行了追踪随访。其中 11例接受了晶体切除和 /或玻璃体切除联合行扁平部房水引流物植入术。6例行经睫状体沟后房房水引流物植入术。结果 :术后随访时间为 10～ 38个月 ,平均随访 2 0 .2个月。 17例病例中有 11例眼压控制在 2 1mm Hg( 2 .793k Pa)以下 ,占 6 4.7% ,另 4例在加用局部抗青光眼药物条件下眼压控制在 2 1mm Hg以下。有 2例由于引流盘周围组织疤痕化 ,手术失败。 17例病例中有 13例术后视力保持稳定或提高 ,1例由于迟发性脉络膜上腔出血 ,1例由于视网膜脱离视力下降 ,另外 2例由于原患眼病恶化视力下降。结论
Objective:To evaluate the effectiveness of treatment of complicated glaucoma via pars plana or ciliary sulcus glaucoma seton implantation.Methods:17 cases of complicated glaucoma,who lost the opportunity to undergo classic filtering surgery due to the anatomic structure deteriorated of anterior ocular segment and anterior chamber shallow or disappearance resulted from multiple surgical interference and inflammation were underwent a vitrectomy combined pars plana glaucoma seton implantation.11 cases underwent lensectomy/vitrectomy and pars plana glaucoma seton implantation.6 cases underwent via ciliary sulcus glaucoma seton implantation.All cases were followed up for 10 38 months.Results:In 11 of the 17 cases,the postoperative IOP were under 21 mmHg(2 79kPa)without any antiglaucoma drugs.In 4 of the 17 cases,the postoperative IOP were under 21 mmHg with topical antiglaucoma drugs.Vision remained stable or improve in 13 patients but deteriorated in one due to delay onset choroidal haemorrhage and in another due to progressive traction retina detachment,and in other 2 cases due to original eye disease deteriorated.Conclusion:Pars plana or ciliary sulcus glaucoma seton implantation provide the possibility of surgical treatment for complicated glaucoma.Combined operation that designed and performed according to the idiographic conditions of patient provide new technique for the complicated glaucoma.
出处
《中国实用眼科杂志》
CSCD
北大核心
2001年第2期127-130,共4页
Chinese Journal of Practical Ophthalmology
