三联手术治疗晚期新生血管性青光眼的临床观察

目的观察睫状体及周边视网膜冷凝联合复合式小梁切除术治疗晚期新生血管性青光眼的效果。方法对56例(56眼)晚期新生血管性青光眼施行睫状体及周边视网膜冷凝联合复合式小梁切除术,术中应用丝裂霉素C及可调整缝线。术后观察眼压,结膜滤过泡及眼前段反应等。随访6～12月。结果随访时50例术后眼压6～21mm Hg(89.28%),5例用1～2种降眼压药物治疗眼压<30mm Hg;1例手术失败。本组病例形成功能性滤过泡50例。占89.28%。术中有4例前房少量积血,术后浅前房2例,无眼球萎缩。结论睫状体及周边视网膜冷凝联合复合式小梁切除术为一种较安全而有效的综合性治疗晚期新生血管性青光眼的方法。

Treatment of neovascular glaucoma by cyclo and peripheral retinal cryotherapy combined with trabeculectomy

Objective To observe effect of cyoclo and peripheral retinal cryotherapy combined with combined trabeculectomy for neovascular glaucoma.Methods In 56 cases of neovascular glaucoma were treated by cyclo and peripheral retinal cryotherapy combined with trabeculectomy.Mitomycin C and adjustable suture were applied in all cases.The change of the intraocular pressure(Iop),filtering bleb as well as the reaction in the anterior segment of the eyes was catefully observed after the surgery.The follow-up period was 6...