非穿透性小梁手术联合透明质酸植入物治疗开角型青光眼_叶天才课件.pdfVIP

2001 7 37 4 　Chin J Ophthalmol, July 2001, Vol 37, No.4 ·273 · ·· 叶天才　张秀兰　余敏斌　葛坚　纪晓霞　陈秀琦　冀建平 【】　　(non-penetrating trabecular surgery, NPTS) 。　 25 (27 )(primary open angle glaucoma, POAG)NPTS 。、、, (ultrasound biomicroscopy, U M)。3.0～ 10.4 , (6.61±2.47)。　(26.36±9.02)mm Hg(1mm Hg=0.133 kPa), 3 (14.18±3.51)mm Hg, (t=6.875, P0.05)。 ≤21 mm Hg 56.0%, ≤21 mm Hg44.0%。(2.96±1.43), (0.77±1.07), 2 (t=4.716, P0.05)。、 (χ=0.33, P =0.564)。27 , 6 ≥21 mm Hg,4 ;、、 。U M , 3, , 。 23 , 4 。 　NPTS 、, , , POAG 。 【】　, ;　;　;　 The clinical effect of non-penetrating trabecular surgery with reticulated sodium hyaluronate impl ant for treatment of primary open-angle glaucoma　　YE Tiancai, ZHANGX iulan, YU Minbin, et al.Zhongshan Ophthalmic Center, Sun Yat-sen Uni ersity of Medical Sciences, Guangzhou 510060, China 【Abstract】　Objective 　To evaluate the clinical effect of non-penetrating trabecular surgery (NPTS)with reticulated sodium hyaluronate implant in primary open-angle glaucoma (POAG).Methods 　NPTS with reticulated sodium hyaluronate implant was performed on 27 eyes of 25 patients with POAG.The procedure consisted of excising a deep scleral tissue including the external wall of the Schlemm′s canal under a scleral flap without opening the anterior chamber, as the inner wall of the canal was left in place.Then placing a 3.0 mm ×4.5 mm×0.5 mm or 3.5 mm×3.5 mm×3.5mm reticulated sodium hyaluronate implantwasplaced under the flap, so that the aqueous humor may filter through the thin layer of trabeculocorneal membrane spontaneously without forming a flat chamber.The postoperative intraocular pressure (IOP), inflammation and filtering blebwere analyzed.All of patients undertook ultrasound biomicroscopy (U M)and gonioscopy to evaluate the surgical site on the p