小梁切除术联合可调整缝线治疗闭角型青光眼对眼表功能的影响

目的：探讨小梁切除术联合可调整缝线治疗闭角型青光眼对患者眼表功能的影响。方法98例（134眼）按照数字表法随机分为两组，对照组49例（66眼），采用小梁切除术治疗，观察组49例（68眼）采用小梁切除术联合可调整缝线治疗。观察两组患者术前及术后3个月眼压变化情况、视力恢复情况及浅前房的发生情况。并对患者术后1d、3d、1个月和3个月的眼表功能进行评分。结果两组患者术后3个月眼压均有明显降低（t＝3．921、5．746，均P＜0．01），并且观察组较对照组降低更明显（t＝2．680，P＜0．05）。两组患者术后3个月视力均有明显提高（t＝2．460、2．976，均P＜0．05），并且观察组较对照组提高更明显（t＝2.062，P＜0．05）。对照组术后浅前房发生率为12．1％（8/66）；观察组术后浅前房发生率为2．9％（2/68）；观察组浅前房发生率明显少于对照组（χ2＝7．98，P＜0．01）。术后两组患者的眼表功能评分均逐渐降低，观察组患者术后1 d、3 d、1个月和3个月眼表功能评分均低于对照组（ t＝2．191、2．680、3．172、3．013，均P＜0.05）。结论小梁切除术联合可调整缝线治疗闭角型青光眼可促进患者眼表功能的恢复。

Trabeculectomy with adjustable sutures on the ocular function score in patients with angle-closure glaucoma

Objective To study trabeculectomy with adjustable sutures on the ocular function score in pa-tients with angle-closure glaucoma .Methods 98 cases （ 134 eyes ） were randomly divided into the two groups , the control group（n=49 cases,66 eyes） and the observation group （n=49 cases,68 eyes）.The patients in the control group were operated through trabeculectomy ,while the patients in the observation group were operated through trabe-culectomy with adjustable sutures .The occurrence of the two groups of patients intraocular pressure changes , and recovery of sight,shallow anterior chamber before and after surgery three months were observed .Postoperative 1d,3d, 1m and 3m ocular function score were compared .Results Postoperative 3 months IOP were significantly lower （ t=3.921,5.746,all P〈0.01）,and compared with the control group ,the observation group significantly decreased （t=2.680,P〈0.05）.Postoperative 3 months visual acuity significantly improved in patients （t=2.460,2.976,all P〈0.05）,and compared with the control group,the observation group improved more significantly （t =2.062,P 〈0.05）.The incidence of postoperative shallow anterior chamber were 12.1% in the control group and 2.9% in the observation group Shallow anterior chamber in observation group was significantly less than that in the control group （χ2 =7.98,P〈0.01）.The two groups of patients after ocular surface scores were decreased in the observation group after 1d,3d,1m and 3m and ocular scores were lower than that of the control group （ t =2.1901,2.680,3.172, 3.013,all P〈0.05）.Conclusion Trabeculectomy with adjustable sutures can promote the recovery of angle-closure glaucoma,ocular function.