新生血管性青光眼26例临床分析.docVIP

新生血管性青光眼26例临床分析 　　doi：10.3969/j.issn.1007-614x.2014.11.48 　　摘 要 目的：探讨虹膜氪激光联合巩膜瓣下小梁组织嵌顿术与青光眼阀植入术和睫状体冷冻术治疗新生血管性青光眼的临床疗效差异。方法：收治新生血管性青光眼（NVG）患者26例，共28眼，单眼24例24眼，双眼2例4眼；男18例19眼，女8例9眼；右20眼，左8眼；年龄36～69岁，平均48.5岁。选择虹膜氪激光联合巩膜瓣下小梁组织嵌顿术12例14眼，选择青光眼阀植入术10例10眼，选择睫状体冷冻术4例4眼。结果：12例14眼采用虹膜氪激光联合巩膜瓣下小梁组织嵌顿术治疗后眼压均恢复正常，8眼视力提高，3眼视力不变，1眼视力下降，10例10眼采用青光眼阀植入术治疗后9眼眼压降至正常，4眼视力提高，5眼视力不变，2眼视力下降，发生并发症1例，为滤过道瘢痕纤维化。4例4眼采用睫状体冷冻术治疗后，3眼眼压控制，1眼眼压下降不明显，发生并发症3例，其中眼球疼痛1例，前房出血1例，葡萄膜炎1例。结论：虹膜氪激光联合巩膜瓣下小梁组织嵌顿术治疗新生血管性青光眼疗效显著。 　　关键词 新生血管性青光眼 虹膜氪激光联合巩膜瓣下小梁组织嵌顿术 青光眼阀植入术 睫状体冷冻术 　　Clinical analysis of 26 cases of neovascular glaucoma 　　Yan Guoming，Ge Qian，Ji Fei，Zhu Yixiu 　　Department of Ophthalmology，the Third Peoples Hospital of Yancheng City，Jiangsu 224006 　　Abstract Objective：To explore the differences of clinical efficacy of iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap and glaucoma valve implantation and cyclocryotherapy in the treatment of neovascular glaucoma.Methods：26 patients with NVG were selected，there were 28 eyes.24 cases were monocular for 24 eyes，2 cases were binocular for 4 eyes；there were 18 cases of male with 19 eyes，there were 8 cases of female with 9 eyes；there were 20 right eyes and 8 left eyes；age was 36 to 69 years old，the average was 48.5 years old.12 cases with 14 eyes were treated with iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap，10 cases with 10 eyes were treated with glaucoma valve implantation，4 cases with 4 eyes were treated with cyclocryotherapy.Results：Intraocular pressure of 12 cases with 14 eyes treated with iris by krypton laser combined with trabecular meshwork dencleisis under scleral flap were all return to normal，the eyesight of 8 eyes was improved，the eyesight of 3 eyes was the same，the eyesight of 1 eye was falling.In the 10 cases with 10 eyes treated with glaucoma valve implantation，intraocular pressure of 9 eyes were return to normal，the eyesight of 4 eyes was improved，the eyesight