【摘要】：目的觀察半導(dǎo)體二極管激光經(jīng)鞏膜睫狀體光凝術(shù)(transscleral cylophotocoagulation,TSCPC)聯(lián)合改良小梁切除術(shù)治療新生血管性青光眼(neovascular glaucoma,NVG)的臨床療效。方法選取2011年1月至2012年12月就診于我院的NVG患者46例(46眼),均采用TSCPC治療聯(lián)合改良小梁切除術(shù),術(shù)后隨訪6~12個月,觀察患者術(shù)后一般療效、視力、眼壓及并發(fā)癥等情況。結(jié)果 46眼中手術(shù)完全成功38眼,條件成功6眼,失敗2眼,手術(shù)成功率為95.7%。與術(shù)前比較,術(shù)后1周、1個月、6個月視力均有不同程度提高,差異均有統(tǒng)計學(xué)意義(均為P0.05)。術(shù)前眼壓為(38.9±3.2)mmHg(1 kPa=7.5 mmHg),術(shù)后1周、1個月、6個月眼壓分別為(18.2±1.2)mmHg、(17.8±1.6)mmHg、(17.2±1.5)mmHg,與術(shù)前比較,差異均有顯著統(tǒng)計學(xué)意義(均為P0.01)。術(shù)后1周形成功能性濾過泡39眼(84.8%),非功能性濾過泡7眼(15.2%);術(shù)后6個月形成功能性濾過泡42眼(91.3%),非功能性濾過泡4眼(8.7%)。術(shù)后并發(fā)癥主要包括前房積血、淺前房、前部葡萄膜炎、玻璃體出血等。結(jié)論 TSCPC聯(lián)合改良小梁切除術(shù)能顯著控制NVG患者眼壓,并發(fā)癥較少。
[Abstract]:Objective to observe the clinical efficacy of semiconductor diode laser transscleral ciliary photocoagulation (transscleral cylophotocoagulation,TSCPC) combined with modified trabeculectomy in the treatment of neovascular glaucoma (neovascular glaucoma,NVG). Methods from January 2011 to December 2012, 46 patients (46 eyes) with NVG were treated with TSCPC combined with modified trabeculectomy. The patients were followed up for 6 months for 12 months. The general curative effect, visual acuity, intraocular pressure (IOP) and complications were observed. Results in 46 eyes, the operation was successful in 38 eyes, conditional success in 6 eyes and failure in 2 eyes. The successful rate of operation was 95.7%. Compared with pre-operation, the visual acuity at 1 week, 1 month and 6 months after operation was improved to some extent, and the difference was statistically significant (all P0.05). The preoperative IOP of (38.9 鹵3.2) mmHg (1 kPa=7.5 mmHg),) was (18.2 鹵1.2) mmHg, (17.8 鹵1.6) mmHg, (17.2 鹵1.5) mmHg, at 1 week, 1 month and 6 months, respectively, compared with the preoperative IOP of (18.2 鹵1.2) mmHg, (17.8 鹵1.6) mmHg, (17.2 鹵1.5) mmHg,. The difference was statistically significant (all P0.01). Functional filtering blebs were formed in 39 eyes (84.8%), non-functional filtering blebs in 7 eyes (15.2%), functional filtering blebs in 42 eyes (91.3%) and non-functional filtering blebs in 4 eyes (8.7%) at 6 months after operation, and functional filtering blebs were formed in 39 eyes (84.8%), 7 eyes (15.2%) and 42 eyes (91.3%). Postoperative complications include hyphema, superficial anterior chamber, anterior uveitis and vitreous hemorrhage. Conclusion TSCPC combined with modified trabeculectomy can significantly control IOP in NVG patients with fewer complications.
【作者單位】： 周口市眼科醫(yī)院;
【分類號】：R779.6

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