非穿透小梁切除联合羊膜移植并MMC湿敷治疗开角型青光眼

目的：探讨非穿透小梁切除联合羊膜移植并丝裂霉素C(MMC)湿敷治疗开角型青光眼的疗效。 方法：对原发性开角型青光眼30例42眼行非穿透小梁切除联合羊膜移植并MMC湿敷。 结果：术后平均随访18mo，术前眼压35.76±6.34mmHg,术后13.82±4.22mmHg。视力有12眼较术前提高，26眼无变化，4眼术后视力下降。视野有34眼视野较术前扩大，8眼视野无变化。弥散扁平滤过泡38眼，限局性隆起滤过泡3眼，瘢痕机化泡消失1眼。全部病例无浅前房发生。 结论：非穿透小梁切除联合羊膜移植并MMC湿敷是一种安全、有效、经济的治疗开角型青光眼的滤过手术。

Amniotic membrane implantation and mitomycinc in non-penetrating trabecular surgery for the treatment of primary open angle glaucoma

AIM:To probe into the effect of amniotic membrane implantation and mitomycinc in non-penetrating trabecular surgery (NPTS) for the treatment of primary open angle glaucoma(POAG). METHODS:Forty-two eyes of 30 POAG patients were treated with amniotic membrane implantation and mitomycinc in NPTS. RESULTS:Intraocular pressure: (35.76±6.34)mmHg before the operation, (13.82±4.22) mmHg after the operation. Visual acuity:12 eyes higher than before the operation, 26 eyes remained the same ,4 eyes worse than before. Visual field:34 eyes expanded relatively, 8 eyes remained the same. Follicle:flat bleb in 38 eyes, cyst bleb in 3 eyes, scar organized bleb in 1 eye. Anterior chamber: No shallow anterior chamber observed in all cases. CONCLUSION:Amniotic membrane implantation and mitomycin in NPTS for the treatment of POAG seems a simple, safe and effective procedure of anti-glaucoma operation.