改良式小梁切除术治疗青光眼的疗效观察.pdfVIP

改良式小梁切除术治疗青光眼的疗效观察 李盈龙彭小宁刘钢生 【摘要】目的探讨改良式小梁切除术联合丝裂霉素C治疗青光眼的临床疗效。方法应用改良式小梁切除术治疗 f75．0％)眼压低于21mmHg，术后6月测眼压，5411艮(84．6％)低于21 mmHg；末次随访时．56眼(87．5％)形成弥散扁平的 4眼(6．3％)，失败6眼(9．4％)。术后主要并发症为：角膜水肿5眼，前房渗出4眼。讨论改良式小梁切除术联合丝裂霉 素C治疗青光眼，可有效地减少青光眼术后滤过道瘢痕的形成，充分降低眼压。该方法不需要特殊设备，手术时间短，损 伤小，并发症少，手术效果好，是一种安全、有效的治疗青光眼方法。 【关键词】青光眼；改良式小梁切除术；丝裂霉素C Doi：10．3969／j．issn．1673—3835．2012．01．003 ofmodified for LI of InvestigationtrabeculectomyglaucomaYing-long，PENGXiao-ning，LIU To theclinical ofmodified with 【Abstract】objective explore efficiency trabeeulectomymitomycinC(MMC)forglaucoma． MethodsAtotalof42 receivedthemodified MMCwasusedinthe cases(64eyes)ofglaucoma trabeculectomy，0．4mg／ml operation．The clinical and wasrecorded．The from6to1 2month．ResultAt1 month efficiencycomplication post-operativefollow—upperiodsranged visual of58 indifierent 1 IOPofa11 decrease‘{inditie,rentlevelsand48 ，the acuity eyes(90．6％)increasedlevels，atweek，the patients lowerthan21 final werediffusedand flat blebsin56 andnon— eyes(75．0％)were mmHg．Atfollow-up，there functioning eyes(87．5％1 blebsin8 successful medicineand4 functioning eyes(12．5％)．58eyes(90．6％)hadoperations：54eyes(84．4％)without eyes(6．3％)with medicine．6 were corneal anteriorchamberfibrin eyes(9．4％)failed．Thepostoperativecomplications edema(5 eyes)and exudalion(4 Modified with Cfor can reduce scaradhesionofthe eyes)．Conclusiontrabeculectomymitomycinglau