三联手术治疗伴虹膜新生血管的晚期青光眼临床疗效

目的评价三联手术治疗伴虹膜新生血管的晚期青光眼手术特点、手术时机及效果。方法36例（41眼）晚期青光眼合并虹膜新生血管采用虹膜热凝＋虹膜切开＋小梁切除术，观察视力、眼压、滤过泡、前房、虹膜新生血管、手术并发症和手术成功率。结果36例（41眼）手术成功40眼（97．56％），术前有视力者术后视力均有提高，术后39眼虹膜血管新生消退，术后前房积血发生率7．31％，2—5d内吸收，无严重并发症发生。结论晚期青光眼合并虹膜新生血管实施局部虹膜热凝＋虹膜切开＋小梁切除术是一种安全有效的方法，晚期青光眼合并新生血管应积极采用手术治疗，以避免视功能的进一步损害。

Triple surgical treatment for advanced glaucoma with iris neovascularization

Objective To evaluate the characteristics,timing of surgery and therapeutic effect of the treatment of advanced glaucoma with iris neovascularization.Methods 36 patients (41 eyes) of advanced glaucoma with iris neovascularization underwent iris heat coagulation,iridotomy and trabeculectomy.The visual acuity,intraocular pressure,bleb,anterior chamber,iris neovascularization,surgery complications and surgical success rate were observed.Results The triple surgery was successful in 40 eyes (97.56％).Those patients with preoperative visual function were improved in visual acuity.The iris neovascularization regressed in 39 eyes,The incidence of postoperative hyphema was 7.31％,which was absorbed in 2 to 5 days.No serious complication occurred.Conclusion Iris heat coagulation,iridotomy and trabeculectomy is safe and effective for treatment of advanced neovascular glaucoma with iris neovascularization.Surgical treatment should be actively used in order to avoid further damage of visual function.