小梁切除术后不同眼压对管状视野晚期青光眼患者预后的影响
发布时间:2018-07-05 00:33
本文选题:青光眼 + 管状视野 ; 参考:《眼科新进展》2014年03期
【摘要】:目的观察小梁切除术后不同眼压(intraocular pressure,IOP)对管状视野晚期青光眼患者预后的影响。方法选择2009年1月至2011年12月于我院眼科确诊为晚期青光眼的患者42例(56眼),所有患者仅存中心10°以内管状视野,均行小梁切除术。检查记录术后即刻IOP及术后随访末期患者视力,并检测患者视野;根据术后眼压将患者分为3组:低IOP组(≤12mmHg,1 kPa=7.5 mmHg)、中IOP组(12-18 mmHg)、高IOP组(18 mmHg)。结果术后低IOP组16眼,IOP为(10.56±2.13)mmHg;中IOP组23眼,IOP为(15.21±1.96)mmHg;高IOP组17眼,IOP为(22.14±2.56)mmHg。三组患者术后视力较术前均有不同程度提高,其中低IOP组手术前后视力差异有统计学意义(P=0.0030.05)。三组患者术后视野平均缺损值均有不同程度降低,其中低IOP组手术前后视野平均缺损值差异有统计学意义(P=0.0200.05)。结论管状视野晚期青光眼患者小梁切除术后眼压低于12 mmHg有利于患者视野恢复,改善预后。
[Abstract]:Objective to observe the effect of different intraocular pressure (intraocular pressure IOP) on the prognosis of patients with advanced glaucoma with tubular visual field after trabeculectomy. Methods from January 2009 to December 2011, 42 patients (56 eyes) with advanced glaucoma diagnosed in our hospital were selected. All the patients only had a central 10 掳tubular visual field and trabeculectomy was performed. IOP was recorded immediately after operation and visual acuity was measured at the end of follow-up. According to IOP, the patients were divided into three groups: low IOP group (鈮,
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