不同手术方式治疗眼外伤继发青光眼的临床对比分析

发布时间：2018-04-20 18:45

本文选题：眼外伤 + 继发性青光眼　；参考：《眼科新进展》2014年04期

【摘要】：目的对比分析不同手术方式治疗眼外伤继发青光眼的临床效果。方法随机对照研究。选取2010年1月至2012年6月我院收治的经药物控制不佳的眼外伤继发青光眼患者80例(80眼),按照随机数字表法分为A组和B组各40例,分别采用小梁切除术和周围虹膜切除术。分别于术前、术后随访期末记录两组患者的眼压、裸眼视力(uncorrected visual acuity,UCVA)、最佳矫正视力(best corrected visual acuity,BCVA)等变化。结果术后两组眼压、UCVA比较,差异均有统计学意义(均为P0.05),小梁切除术对眼外伤继发青光眼术后眼压、UCVA的改善情况优于周边虹膜切除术。A组术后BCVA提高30眼,不变6眼,降低4眼;B组术后BCVA提高18眼,不变12眼,降低10眼;两组术后BCVA改善情况比较,差异有统计学意义(P0.05),小梁切除术对眼外伤继发青光眼术后BCVA的改善情况优于周边虹膜切除术。结论在药物不能控制眼压后,根据具体的发病原因、病理类型合理考虑小梁切除术治疗能有效改善患者的眼压和视力。
[Abstract]:Objective to compare and analyze the clinical effect of different surgical methods for glaucoma secondary to ocular trauma. Methods A randomized controlled study was conducted. From January 2010 to June 2012, 80 patients with secondary glaucoma due to ocular trauma were selected and divided into two groups: group A (n = 40) and group B (n = 40). Trabeculectomy and peripheral iridectomy were performed respectively. Intraocular pressure (IOP), uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) were recorded at the end of preoperative and postoperative follow-up. Results there were significant differences in intraocular pressure between the two groups (P 0.05). The improvement of intraocular pressure after trabeculectomy was better than that in group A (30 eyes, 6 eyes). In group B, BCVA was increased in 18 eyes, unchanged in 12 eyes, and decreased in 10 eyes, and the improvement of BCVA in the two groups was statistically significant (P 0.05). Trabeculectomy was superior to peripheral iridectomy in the improvement of BCVA after glaucoma secondary to ocular trauma. Conclusion Trabeculectomy can effectively improve the IOP and visual acuity of the patients after intraocular pressure can not be controlled by drugs, according to the specific causes of the disease, and the pathological types can be considered reasonably in the treatment of trabeculectomy.
【作者单位】：仙桃市第一人民医院眼科;武汉大学人民医院眼科中心;
【分类号】：R779.6

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