小梁切除术联合全视网膜光凝治疗新生血管性青光眼

目的新生血管性青光眼是一种难以控制的青光眼。本文采用小梁切除术联合全视网膜光凝治疗新生血管性青光眼,探讨新生血管性青光眼治疗方法,取得满意疗效。方法对1998年10月-2002年1月收治新生血管性青光眼13例(13眼)采用在小梁切除术的同时根据眼底可见情况分次行全视网膜光凝术,全部患者均随访5月～2年。结果患者13例13眼术后眼压降至正常,虹膜新生血管消退,视乳头和视网膜新生血管部分或全部消退。4例视力提高,8例视力不变,1例视力下降。结论小梁切除术联合全视网膜光凝术,对于新生血管性青光眼可以有效地降低眼压,促进新生血管消退,防止再出血和眼压升高的发生。为新生血管性青光眼治疗的较好的选择方法。

Trabeculectomy Combined with Panretinal Photocoagulation in Treatment of Neovascular Glaucoma

Objective To try a new surgical method for neovascular glaucoma (NCG). Methods From Oct. 1998 to Jan.2002, 13 cases of NCG (13 eyes) were treated with trabeculectomy combined with fractional panretinal photocoagulation according to the look of fundus and were followed up for 5 months to 2 years. Results In all the 13 cases, IOP dropped to normal, neovascularization on iris resolved and neovascularization on optic papilla and retina partially or completely resolved. Vision improved in 4, remained unchanged in 8 and decreased in 1. Conclusion The method is an optional treatment of NVG in that it reduces IOP, speeds up the resolution of neovascularization, and prevents recurrence of bleeding and high IOP.