改良显微小梁切除术治疗葡萄膜炎继发性青光眼 |
| |
引用本文: | 刘杏,肖辉,黄晶晶,钟毅敏,陈晓蓓,曹丹. 改良显微小梁切除术治疗葡萄膜炎继发性青光眼[J]. 中华显微外科杂志, 2004, 32(1): 202-204. DOI: 10.3760/cma.j.issn.1001-2036.2009.03.012 |
| |
作者姓名: | 刘杏 肖辉 黄晶晶 钟毅敏 陈晓蓓 曹丹 |
| |
作者单位: | 中山大学中山眼科中心,眼科学国家重点实验室,广州,510060; |
| |
摘 要: | Objective To investigate the effect of trabeculectomy combined with segmental iridectomy, mitomycin C (MMC) and viscoelastic agents usage on the treatment of glaucoma secondary in uveitis. Methods According to the age, degree of inflammation and the condition of Tenon capsule of patients, differ-ent concentration of MMC (0.25-0.33 mg/ml) was used during the operation, with separation of the anterior and posterior synechia, resection of pupillary organization membrane using viscoelastic agents. Segmental iridec-tomy and releasable sutures were also performed on the patients. The visual acuity of preoperation and postoper-ation, intraocular pressure, inflammation and the complication were record. Results Forty-two eyes of 38 cases with glaucoma secondary in uveitis were studied, the mean follow-up time was (12.01±3.56) months. The postoperative visual acuity improved in 14 eyes, didn't change in 28 eyes. The postoperative inflammation of anterior chamber disappeared in 35 eyes, relieved in 7 eyes. And the average postoperative intraocular pres-sure (15.20± 4.64) mmHg was significantly lower than the preoperative intraocular pressure (38.37±12.93) mmHg (t = 8.255, P = 0.000). The total success rate was 92.9%. There were no severe complication. Conclusion Trabeculeetomy combined with MMC, viscoelastic agents usage, separation of anterior and poste-rior syneehia, segmental iridectomy and releasable suture could increase the success rate of operation on pa tients with glaucoma secondary in uveitis, decrease the complication and inflammation reaction of operation, and the recurrence of uveitis.
|
关 键 词: | 葡萄膜炎 青光眼 小梁切除术 显微手术 |
Effect of modified trabeculectomy on the treatment of glaucoma secondary in uveitis |
| |
Abstract: | |
| |
Keywords: | UveitisGlaucomaTrabeculectomyMicrosurgical operation |
|
|