目的:探讨复合式小梁切除术对硅油填充术后继发性青光眼的治疗效果。方法:回顾性分析2003-10/2008-12我院采用复合式小梁切除术,治疗硅油填充术后继发性青光眼11例11眼的手术效果。结果:患者术后达到功能性滤过泡标准比例极高。术前眼压平均为(52.3±11.5)mmHg,术后平均眼压为(15.4±8.3)mmHg。术后平均眼压较术前明显降低,经t检验具有显著性差异,术后视力较术前提高4眼(36%),与术前视力相同5眼(45%),较术前视力略下降2眼(18%)。结论:复合式小梁切除术可以有效治疗硅油填充术后继发性青光眼。

·AIM:To evaluate the effects of complex trabeculectomy in treatment of secondary glaucoma after silicone oil filling.·METHODS:Eleven cases 11 eyes with secondary glaucoma after silicone oil filling were treated with complex trabeculectomy since Oct.2003 to Dec.2008.Clinical observations were carried out on filtering bleb,intraocular pressure(IOP)and vision.·RESULTS:High rate of functional filtering bleb formation was achieved after complex trabeculectomy.IOP was 52.3±11.5mmHg before operation and 15.4±8.3mmHg after operation,IOP was significantly dropped(P<0.01).4 eyes(36%)had vision improved and 5 eyes(45%)had equal vision with preoperation,2 eyes(18%)with vision decreased.·CONCLUSION:Complex trabeculectomy can treat secondary glaucoma after silicone oil filling effectively.·

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