| 改良小梁切除术联合MMC对NVG的疗效探讨 |
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| 引用本文： | 李燕先,袁军,李蓓,张娇. 改良小梁切除术联合MMC对NVG的疗效探讨[J]. 国际眼科杂志, 2008, 8(9): 1910-1912 |
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| 作者姓名： | 李燕先 袁军 李蓓 张娇 |
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| 作者单位： | 武警四川省消防总队医院眼科,中围四川省成都市,610072;中国四川省广元市第二人民医院眼科,628017;中国四川省成都市416医院眼科,610051 |
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| 摘 要： | 目的:探讨使用改良小梁切除术联合MMC治疗NVG的疗效。方法:在经典现代小梁切除术基础上,改良行上穹窿为基底的角膜缘处结膜切口、做巩膜瓣5.0mm×4.5mm、巩膜瓣行MMC处理、透明角膜缘连同小梁区切除3.3mm×2.0mm、虹膜剪除前灼凝表面新生血管。结果:9例(9眼)NVG患者术后眼胀痛,头痛等症状消失,眼压保持良好。1例随访4a,3例随访3a,3例随访2a,眼压均稳定在15.88~23.78mmHg。2例失随访。结论:NVG采用改良小梁切除术联合MMC治疗效果较好。
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| 关 键 词： | 新生血管性青光眼 改良小梁切除术 丝裂霉素C |
Treatment of modified trabeculectomy with MMC for neovascular glaucoma |
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| Yan-Xian Li,Jun Yuan,Bei Li,Jiao Zhang. Treatment of modified trabeculectomy with MMC for neovascular glaucoma[J]. International Eye Science, 2008, 8(9): 1910-1912 |
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| Authors: | Yan-Xian Li Jun Yuan Bei Li Jiao Zhang |
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| Affiliation: | 1Department of Ophthalmology, Sichuan Fire Armed Police Corps Hospital, Chengdu 610072, Sichuan Province, China;2 Department of Ophthalmology, the Second People’s Hospital of Guangyuan, Guangyuan 628017,Sichuan Province,China;3 Department of Ophthalmo-logy, No.416 Hospital, Chengdu 610051, Sichuan Province, China |
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| Abstract: | AIM: To investigate the clinical effect of treatment of modified trabeculectomy with MMC for late neovascular glaucoma. ·METHODS: Bular conjunctives were at the base of vault incised. Then the operation was continued with a 5.0mm×4.5mm incision in corneoscleral limbus and 3.3mm×2.0mm in trabecula. Neovascular vessels on iris were electrocoagulated before iridectomy. Cotton slice with MMC was inserted into the incision on sclera; sclera and conjunctival flaps were sutured. Both eyes of the patient were dressed for three days.·RESULTS: This modified trabeculectomy was successful in 9 eyes of 9 patients, of whom 1 was followed up for 4 years, 3 for 3 years, 3 for 2 years and 2 dropped out. It was found that their headache and pain in eyes disappeared and their eye pressure returned to normal (15.88-23.78mmHg). ·CONCLUSION: Modified trabeculectomy is an effective treatment for late neovascular glaucoma. |
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| Keywords: | neovascular glaucoma modified trabecu-lectomy MMC |
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