临床眼科杂志Issue(2):166-168,3.DOI:10.3969/j.issn.1006-8422.2015.02.023
小梁切除联合生物羊膜移植术治疗原发性慢性闭角型青光眼效果分析
Effects of trabeculectomy with biological amniotic membrane transplantation in the treatment of primary chronic angle closure glaucoma
高阳 1刘洁梅 2张良3
作者信息
- 1. 528451 广东省中山市南朗医院眼科
- 2. 511400广州市番禺区中医院眼科
- 3. 510080 广东省人民医院眼科
- 折叠
摘要
Abstract
Objective To analysis the clinical effect of trabeculectomy combined with biological amniotic mem-brane transplantation on primary chronic angle closure glaucoma.Methods This study included 60 patients (72 eyes) treated in our hospital from 2009 July to 2013 July.Patients were randomly divided into observation group (35 patients, 42 eyes) and control group (25 patients, 30 eyes) .Observation group received trabeculectomy combined with biological amni-otic membrane transplantation, and control group received trabeculectomy alone.Results The successful rate was signifi-cantly higher in observation group (34 eyes, 80.95%) compared to that in control group (16 eyes, 53.33%, P =0. 012).Visual acuity improved in more patients in observation group (26 eyes, 61.90%) than in control group ( P =0. 035) .The need of anti-glaucoma medication was much less in observation group (1 eye, 2.38%) than in control group (6 eyes, 20.00%, P =0.018).Observation group also reported less complications (2 eyes vs.7 eyes, P =0.029) and bet-ter intraocular pressure (16.7 ±1.5 mm Hg vs.18.9 ±2.5 mm Hg, P =0.036) than control group.Conclusion Trabe-culectomy combined with biological amniotic membrane transplantation will improve the successful rate of treating primary chronic angle closure glaucoma.It results in better visual acuity and intraocular pressure outcomes with less complications.关键词
小梁切除术/生物羊膜移植术/原发性慢性闭角型青光眼/治疗效果Key words
Trabeculectomy/Biological amniotic membrane/Primary chronic angle closure glaucoma/Treatment effect引用本文复制引用
高阳,刘洁梅,张良..小梁切除联合生物羊膜移植术治疗原发性慢性闭角型青光眼效果分析[J].临床眼科杂志,2015,(2):166-168,3.