青光眼小梁切除术31例临床分析

目的探讨青光眼小梁切除术治疗各种类型青光眼,控制眼压及改善视力的疗效观察。探索一些提高手术成功率的方法。方法施行青光眼小梁切除术31例(35只眼)各种类型青光眼,术中使用抗代谢药物丝裂霉素C(MMC)抑制滤过区瘢痕形成,以获得功能性滤过泡和理想的眼压控制。随访1年。结果 31例(35只眼)除2例前房延缓形成,经保守治疗后前房恢复正常,大部分病例术后炎性反应轻微,有2例(3只眼)术后炎性反应较重,用阿托品散瞳,全身应用皮质类固醇,口服吲哚美辛(消炎痛)使炎症控制,术后眼压控制在12.22~20.55mmHg,全部形成功能性滤过泡。随访1年期间,均未发现前房消失或变浅和低眼压等并发症。结论青光眼小梁切除联合丝裂霉素C(MMC)治疗青光眼近、远期效果好,并发症少,成功率高。

Clinical Analysis of 31 Cases of Trabeculectomy

Objective Exploring the efficacy of trabeculectomy in control intraocular pressure and improve vision of various glaucoma treatment.Methods Conducting trabeculectomy in 31 patients（35 eyes） with various types of glaucoma,using antimetabolites mitomycin C（MMC） inhibiting the filtration area scar formation,to get functional bleb and the ideal intraocular pressure（IOP） control.Through one year’s track.Result 31 patients（35 eyes） in addition to the two cases of anterior delay formation,which return to normal after conservative treatment,most patients had mild inflammation reaction.There are two cases（3 eyes） postoperative inflammation heavier,dilated with atropine,systemic use corticosteroids,oral indomethacin（Indocin） to control inflammation,The postoperative IOP control in 12.22-20.55mmHg,all of patients form functional blebs.Through one year’s track,anterior disappeared or shallow and low intraocular pressure were not be found.Conclusion Glaucoma trabeculectomy with mitomycin C（MMC） treatment of glaucoma has longterm effect and fewer complication as well as high success rate.