高眼压状态下青光眼小梁切除术的临床分析

Clinical analysis of trabeculectomy in high intraocular pressure

摘要:

目的：探讨青光眼高眼压状态下小梁切除术的安全性和有效性。

方法：对25例26眼充分降眼压后眼压仍不正常的青光眼患者， 前房穿刺放出房水后行复合小梁切除术，观察疗效及术后并发症。

结果：所有手术均顺利完成， 未出现暴发性脉络膜出血、玻璃体脱出等严重并发症，术后眼压控制≤21mmHg，术后视力提高25眼，总有效率96.2%。

结论：小梁切除术治疗青光眼安全、简便、可靠。对药物不能控制的持续性高眼压状态下的青光眼，放出房水后再行复合小梁切除术仍是最有效的理想术式。

Abstract:

AIM: To investigate the safety and efficacy of trabeculectomy in glaucoma and ocular hypertension status.

METHODS:For 25 glaucoma patients 26 eyes whose intraocular pressure was still abnormal after full antihypertensive treatment, the anterior chamber puncture was performed to release aqueous, then the patients underwent the trabeculectomy, the efficacy and complications were observed.

RESULTS: All operations were successfully completed,without choroidal hemorrhage, vitreous loss or other serious complications, postoperative intraocular pressure was ≤21mmHg, and postoperative visual acuity improved in 25 eyes, the total efficiency was 96.2%.

CONCLUSION:Treatment of glaucoma with trabeculectomy is safe, simple, and reliable. And for the glaucoma with uncontrolled persistent ocular hypertension, release of aqueous and then trabeculectomy is still the most effective, ideal technique.