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23G套管针在急性闭角型青光眼中的应用

高郁玮 张舒心 孙丽 周新

眼科新进展2017,Vol.37Issue(4):369-371,3.
眼科新进展2017,Vol.37Issue(4):369-371,3.DOI:10.13389/j.cnki.rao.2017.0094

23G套管针在急性闭角型青光眼中的应用

Application of 23G minimally vitrectomy trocar in acute angle closure glaucoma

高郁玮 1张舒心 2孙丽 2周新1

作者信息

  • 1. 100036北京市,北京美尔目医院眼科
  • 2. 100005北京市,首都医科大学附属北京同仁医院眼科
  • 折叠

摘要

Abstract

Objective To evaluate the outcome of 23G minimally vitrectomy trocar on eyes with acute angle closure glaucoma.Methods A retrospective review was performed of patients with acute angle closure glaucoma who underwent combined compound trabeculectomy from September,2014 to June,2015 in Beijing MEM care system.Intraoperative 23G minimally vitrectomy trocar was used in all of the patients.30 eyes of 30 patients were enrolled in the study.All patients were followed up for 12 months.Visual acuity,intraocular pressure and complications were observed.Results No serious complications such as explosive choroid hemorrhage and retinal hemorrhage occurred during operation.All of 30 eyes maintained adequate pressure control.The average postoperative IOP was (15.93 ± 1.35) mmHg (1 kPa =7.5 mmHg),was less than the preoperative (56.34 ± 6.96) mmHg (P =0.00).And the visual acuity in 23 eyes were improved.Conclusion Combined trabeculectomy with 23G minimally vitrectomy trocar in acute angle closure glaucoma patients is a kind of safe and effective operation method,can obviously reduce the intraoperative explosive choroid hemorrhage.

关键词

急性闭角型青光眼/23G套管针/微创玻璃体手术

Key words

acute angle closure glaucoma/23G trocar/minimally vitrectomy

分类

医药卫生

引用本文复制引用

高郁玮,张舒心,孙丽,周新..23G套管针在急性闭角型青光眼中的应用[J].眼科新进展,2017,37(4):369-371,3.

眼科新进展

OA北大核心CSTPCD

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