内窥镜睫状体光凝术与青光眼阀植入术治疗难治性青光眼的对比研究

发布时间：2018-06-18 15:03

本文选题：内窥镜睫状体光凝术 + 青光眼阀植入术　；参考：《实用医学杂志》2017年06期

【摘要】：目的:对比内窥镜睫状体光凝术(endoscopic cyclophotocoagulation,ECP)和青光眼阀植入术治疗难治性青光眼疗效。方法:回顾性分析难治性青光眼99眼,分为ECP组50眼(A组)和青光眼阀植入组49眼(B组)。观察两组术后眼压、视力、术中、术后并发症。结果:(1)眼压:两组最后复诊眼压下降较术前差异均有统计学意义(t=2.47、t=2.51,P0.05)。除术后2 d及7 d外,余时间点两组眼压差异无统计学意义(t=0.92、t=0.89、t=0.95,P0.05)。(2)视力:末次随访两组视力差异无统计学意义(x~2=37.85,P0.05)。(3)并发症:A组早期并发症:前房反应性渗出、短期高眼压、前房积血。B组早期并发症:浅前房、前房积血、阀口阻塞性高眼压、迟发型爆发性脉络膜上腔出血、脉络膜脱离。中期并发症:引流盘纤维包裹性高眼压;远期并发症:引流管排斥、暴露和移位、感染性眼内炎、结膜增殖性病变。结论:内窥镜睫状体光凝术与青光眼阀植入术均能降低难治性青光眼眼压。内窥镜睫状体光凝术术后并发症少。
[Abstract]:Objective: to compare the efficacy of endoscopic cyclophotography (ECPP) and glaucoma valve implantation in the treatment of refractory glaucoma. Methods: 99 eyes of refractory glaucoma were analyzed retrospectively and divided into ECP group (50 eyes) and glaucoma valve implantation group (49 eyes). Intraocular pressure, visual acuity, intraoperative and postoperative complications were observed in both groups. Results IOP: the decrease of IOP in the two groups was significantly higher than that before operation. Except 2 and 7 days after operation, there was no significant difference in IOP between the two groups at the remaining time point. There was no significant difference in IOP between the two groups (P < 0. 05, P 0. 05, P 0. 05). Visual acuity was not significantly different between the two groups at the last follow-up. There was no significant difference in visual acuity between the two groups (P 0. 05). 3) early complications in group A: anterior chamber reactive exudation, short term high intraocular pressure (IOP). The early complications in group B: superficial anterior chamber, hyphema, obstructive intraocular pressure, delayed burst suprachoroidal hemorrhage and choroidal detachment. Intermediate complications: high intraocular pressure with filamentous drainage disc, long term complications: drainage tube rejection, exposure and displacement, infectious endophthalmitis, conjunctival proliferative lesions. Conclusion: endoscopic ciliary photocoagulation and glaucoma valve implantation can reduce IOP in refractory glaucoma. There are few complications after endoscopic ciliary body photocoagulation.
【作者单位】：南昌大学第二附属医院眼科;
【分类号】：R779.6

【相似文献】