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睫状体冷冻联合小梁切除治疗晚期新生血管性青光眼

Effect of cyclocryotherapy and trabeculectomy for the treatment of late neovascular glaucoma

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【作者】 张蕾谭荣强郑春昌吴林彬周家承李敏红

【Author】 Lei Zhang,Rong-Qiang Tan,Chun-Chang Zheng,Lin-Bin Wu,Jia-Cheng Zhou,Min-Hong Li Department of Ophthalmology,the First People’s Hospital of Zhaoqing,Zhaoqing 526020,Guangdong Province,China

【机构】 中国广东省肇庆市第一人民医院眼科

【摘要】 目的:分析睫状体冷冻联合小梁切除治疗晚期新生血管性青光眼疗效。方法:晚期新生血管性青光眼37例37眼,行睫状体冷冻联合小梁切除术,术后随访12mo,观察术后眼压、前房反应及疼痛程度和并发症等。结果:术前平均眼压52.34mmHg,术后1,3d;1wk;1,3,12mo平均眼压分别为17.30±9.35,17.98±7.69,17.38±5.31,17.22±3.82,16.45±4.82,16.76±4.52mmHg,与手术前平均眼压比较,差异均有统计学意义(P<0.05)。术后前房反应较轻,疼痛缓解明显,无严重并发症。结论:睫状体冷冻联合小梁切除术能有效治疗晚期新生血管性青光眼。

【Abstract】 AIM:To evaluate the efficacy of cyclocryotherapy and trabeculectomy for the treatment of late neovascular glaucoma.METHODS:Cyclocryotherapy and trabeculectomy were performed on 37 cases(37 eyes) with late neovascular glaucoma.All patients were followed up for 12 months.The intraocular pressure(IOP),anterior chamber reaction,pain intensity,and complications were observed.RESULTS::Compared with preoperation,the mean IOP was significantly decreased at 1 day,3 days,1 week,1 month,3 and 12 months postoperation(P<0.05).The postoperative anterior chamber reaction was mild,pain was relieved,and no serious complications.CONCLUSION:Cyclocryotherapy and trabeculectomy can effectively manage late neovascular glaucoma.

  • 【文献出处】 国际眼科杂志 ,International Eye Science , 编辑部邮箱 ,2012年11期
  • 【分类号】R779.6
  • 【被引频次】7
  • 【下载频次】49
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