TSCPC联合改良小梁切除术治疗新生血管性青光眼的临床疗效观察

发布时间：2019-03-26 20:39

【摘要】：目的观察半导体二极管激光经巩膜睫状体光凝术(transscleral cylophotocoagulation,TSCPC)联合改良小梁切除术治疗新生血管性青光眼(neovascular glaucoma,NVG)的临床疗效。方法选取2011年1月至2012年12月就诊于我院的NVG患者46例(46眼),均采用TSCPC治疗联合改良小梁切除术,术后随访6~12个月,观察患者术后一般疗效、视力、眼压及并发症等情况。结果 46眼中手术完全成功38眼,条件成功6眼,失败2眼,手术成功率为95.7%。与术前比较,术后1周、1个月、6个月视力均有不同程度提高,差异均有统计学意义(均为P0.05)。术前眼压为(38.9±3.2)mmHg(1 kPa=7.5 mmHg),术后1周、1个月、6个月眼压分别为(18.2±1.2)mmHg、(17.8±1.6)mmHg、(17.2±1.5)mmHg,与术前比较,差异均有显著统计学意义(均为P0.01)。术后1周形成功能性滤过泡39眼(84.8%),非功能性滤过泡7眼(15.2%);术后6个月形成功能性滤过泡42眼(91.3%),非功能性滤过泡4眼(8.7%)。术后并发症主要包括前房积血、浅前房、前部葡萄膜炎、玻璃体出血等。结论 TSCPC联合改良小梁切除术能显著控制NVG患者眼压,并发症较少。
[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 卤3.2) mmHg (1 kPa=7.5 mmHg),) was (18.2 卤1.2) mmHg, (17.8 卤1.6) mmHg, (17.2 卤1.5) mmHg, at 1 week, 1 month and 6 months, respectively, compared with the preoperative IOP of (18.2 卤1.2) mmHg, (17.8 卤1.6) mmHg, (17.2 卤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.
【作者单位】：周口市眼科医院;
【分类号】：R779.6

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