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小梁切除联合注射透明质酸钠的术后效果观察

郝磊 付晶 牟大鹏 王怀洲

临床眼科杂志2011,Vol.19Issue(1):22-26,5.
临床眼科杂志2011,Vol.19Issue(1):22-26,5.

小梁切除联合注射透明质酸钠的术后效果观察

The effect of combination of trabeculectomy and sodium hyaluronate injection

郝磊 1付晶 1牟大鹏 1王怀洲1

作者信息

  • 1. 100730,北京,首都医科大学附属北京同仁医院,北京同仁眼科中心,北京市眼科学与视觉科学重点实验室
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摘要

Abstract

Objective To investigate the effect of injectahle crosslink sodium hyaluronate in traheculectomy.Methods Patients were divided into two groups with 25 patients in each group. One group received suh-conjunctiva injection of crosslink sodium hyaluronate after the surgery; the other group received regular surgery without injection. The post operation complications were observed. The intraocular pressure of each group at 1 week, 1 month, 3 months and 6months after operation were recorded. The blebs were evaluated by the slit lamp photographs, all the hlebs were scanned by ultrasound biomicroscopy; the filtering canal, intrahleh reflection and the form of the blebs were analyzed. Results The experimental group occurred less complication. The intraocular pressure of the two groups showed significant difference at 3 and 6 months; but no significant difference at 1 week and 1 month. The blehs in experimental group were characterized by better scores of height, extent, and vessels in slit lamp evaluation. The hlebs in experimental group showed unique form of thin wall, the filtering canals were easily to detect ( 89vs80% ), and usually demonstrated a low reflection ( 74% vs55% ). Conclusion The injectable crosslink sodium hyaluronate can lessen the post-operation complications, maintain the form of the bleb and help to control the intraocular pressure. The appearance of the functional blebs had special characteristics.

关键词

小梁切除术/透明质酸钠/超声生物显微镜

引用本文复制引用

郝磊,付晶,牟大鹏,王怀洲..小梁切除联合注射透明质酸钠的术后效果观察 [J].临床眼科杂志,2011,19(1):22-26,5.

临床眼科杂志

OACSTPCD

1006-8422

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