临床眼科杂志2016，Vol.24Issue(4)：339-341,3.DOI:10.3969/j.issn.1006-8422.2016.04.017
青光眼引流器植入联合小梁切除术治疗难治性青光眼的临床观察
Clinical observation of glaucoma drainage implants combined with trabeculectomy for the treatment of refrac-tory glaucoma
摘要
Abstract
Objective To study the clinical effects of drainage implants combined with trabeculectomy on the treatment of refractory glaucoma.Methods hirty-four refractory glaucoma patients (46 eyes) were treated with drainage device implantation and trabeculectomy.Postoperative visual acuity, intraocular pressure, filtering bleb and complications were observed.Results Glaucoma causes among the patients included neovascular glaucoma ( n =12, 17 eyes), trau-matic glaucoma ( n =2, 2 eyes), developmental glaucoma ( n =9, 12 eyes), and pigment disseminated glaucoma ( n =2, 2 eyes) .There were 4 aphakic eyes and 1 eye with intraocular lens.Average preoperative IOP was 42.15 ±2.32 mm Hg.After surgery, the average IOP was 18.34 ±3.55 mm Hg.IOP was well controlled in 30 eyes, partially controlled in 7 eyes, and uncontrolled in the remaining 9 eyes, resulting an effective rate of 80.43%.Functional bleb formation rate was 67.39%, with little complications.Conclusion The new native glaucoma drainage implantation combined with trabecu-lectomy is effective and safe for refractory glaucoma.Few complications were observed.关键词
难治性青光眼/青光眼引流器/小梁切除术/眼压Key words
Refractory glaucoma/Glaucoma drainage/Trabeculectomy/IOP引用本文复制引用
韩冬,袁立飞,李善雨,窦志霞..青光眼引流器植入联合小梁切除术治疗难治性青光眼的临床观察[J].临床眼科杂志,2016,24(4):339-341,3.
