目的:评价小梁切除术+丝裂霉素C(mitomycin C,MMC)联合玻璃体腔注射曲安奈德(triamcinolone acetonide,TA)睫状体冷冻术治疗新生血管性青光眼(neovascular glaucoma,NVG)的效果。方法:对16例16眼NVG行小梁切除术+MMC,玻璃体腔注射TA混悬液4mg/0.1mL,睫状体冷冻180°范围4～6个点,每点冷冻时间60s。结果:眼压控制正常者14眼(88%),其余2眼眼压仍高出正常范围,但眼痛症状明显缓解。虹膜新生血管大部分消退14眼,部分消退2眼,无眼球萎缩病例。结论:小梁切除术+MMC联合玻璃体腔注射TA睫状体冷冻术是治疗NVG一种有效方法。

AIM:To evaluate effects of trabeculectomy with mitomycin C (MMC), intravitreous injection of triamcinolone acetonide ( TA) and cyclocryotherapy in patients with neovascular glaucoma(NVG).METHODS: Trabeculectomy with MMC was performed on 16 eyes of 16 patients with NVG. Intravitreous injection of TA(4mg/0.1mL), cyclocryotherapy at 4 to 6 points about half circle of the eye. Each point was frozen for 60 seconds.RESULTS: The postoperative normal IOP was in 14 eyes (88%) and the IOP above 21mmHg was in 2 eyes. The stimulative symptoms were reduced or relieved and iris new vessels were reduced. There was no atrophy of eyeball in all patients.CONCLUSION: Trabeculectomy with MMC, intravitreous injection of TA and cyclocryotherapy is an effective method for patients with NVG.

R779.6