临床眼科杂志2018，Vol.26Issue(1)：55-59,5.DOI:10.3969/j.issn.1006-8422.2018.01.015
针刺分离EX-PRESS引流钉植入术后无功能滤过泡的疗效分析
Effects of needle revision on the dysfunctional filtering blebs after EX-PRESS implantation
张恒丽 1唐广贤 1李凡 1闫晓伟 1马丽华 1耿玉磊1
作者信息
- 1. 050000 石家庄市第一眼科医院 石家庄市第一医院
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy and safety of needle revision on dysfunctional filtration blebs after EX-PRESS implantation and trabeculectomy.Methods 81 eyes of 69 patients with dysfunctional filtering blebs after glaucomatous filtering surgery were consecutively enrolled from October 2015 to December 2016 at the ShiJiaZhuang First Hospital.34 eyes of 30 patients after EX-PRESS implantation were defined as the EX-PRESS group and 39 eyes of 47 cases after trabeculectomy were considered as the Trab group.Patients with non-functional filtration blebs received mitomy-cin or fluorouracil subconjunctival injection combined with acupuncture after glaucomatous surgery.Visual acuity,intraocu-lar pressure(IOP),bleb morphologic features,corneal endothelial cell density and complications were measured.The sta-tistical analysis was conducted between the two groups.Results The IOP in EXPRESS group and Trab group was 33.96 ± 4.10 mmHg and 32.50 ±3.63 mmHg before needling revision,respectively.The difference between the two groups was not significant.Following the needling revision at 1 and 6 months,IOP declined to 12.15 ±3.53 and 13.56 ±3.15 mmHg in EX-PRESS group and 12.64 ±3.08 and 14.60 ±4.27 mmHg in Trab group, respectively.Compared with pre-treatment IOP,IOP significantly decreased after the needling revision(P <0.001).There was no statistically significant difference between the two groups.The corneal endothelial cell density between the two groups was not obviously changed before and after needling reversion.Early stage complications included subconjunctival hemorrhage,shallow anterior chamber,hyphe-mia,choroidal effusion and hypotony,and the difference was significant between the two groups after needling(χ2=6.26, P =0.01).There were no filtering bleb leakage or conjunctival erosion in the filtering area during the follow -up.Conclu-sions Subconjunctival injection of mitomycin or fluorouracil combined with needle reversion is a safe and effective treat -ment to remove dysfunctional filtering blebs after Express drainage implantation.关键词
EX-PRESS引流钉植入术/小梁切除术/丝裂霉素/氟尿嘧啶/针刺分离Key words
EX-PRESS implantation/Trabeculectomy/Mitomycin/Fluorouracil/Needling revision引用本文复制引用
张恒丽,唐广贤,李凡,闫晓伟,马丽华,耿玉磊..针刺分离EX-PRESS引流钉植入术后无功能滤过泡的疗效分析[J].临床眼科杂志,2018,26(1):55-59,5.
