小梁切除联合丝裂霉素C治疗青光眼再手术远期疗效观察.doc

文档介绍：小梁切除联合丝裂霉素C治疗青光眼再手术远期疗效观察

【摘要】目的:探讨小梁切除联合应用丝裂霉素C治疗青光眼再手术的远期疗效。方法:回顾性分析19例21眼常规小梁切除无功能滤过泡、眼压失控再次手术的病例资料,手术方式为再次小梁切除联合应用丝裂霉素C并术后随访1~3a。疗效判定标准:A 疗效好:眼压<16 mmHg、视力≥、视盘与视野损害无进展。B 疗效较好:不用或仅用局部抗青光眼药物眼压≤21 mmHg、~、视盘与视野损害无进展。C 疗效差:眼压失控、药物不能控制在正常范围或手术治疗。手术成功判定标准:A B项为手术成功标准。结果:随访1a以上19例21眼(100%),随访3a以上16例(18眼)(76%)。± mmHg。± mmHg明显降低.( P ≤) 、11眼眼压控制在13± mmHg , 8眼局部应用抗青光眼一种药物眼压控制好, 较术前眼压难以控制有显著意义。检眼镜观察杯盘比值与视野检查,术前术后无显著差异。~,视力满意(>)8眼(38%),17眼()保持有用视力(81%)。根据上述标准:疗效好8眼、疗效较好9眼、4眼疗效差。1a手术成功率86%。3a手术成功率76%。本组病例术后早期并发症:角膜上皮损害6眼,低眼压、浅前房发生9眼,其中滤过强与渗漏4眼,2眼脉络膜脱离,1眼发生睫状环阻塞性青光眼。3a随访晶状体浑浊加重5眼,2眼再一次出现眼压失控行抗青光眼联合手术。结论:小梁切除联合应用丝裂霉素C治疗青光眼手术成功率高,远期效果好,再次手术疗效满意。
【关键词】小梁切除丝裂霉素C 青光眼再手术随访研究
Long-term effect of bined with MMC on repeated surgery for a
Abstract AIM:To evaluate the long-term effect of bined with MMC on repeated surgery for a. METHODS:This retrospective study included 19 cases(21 eyes) with a patients for trabeculectomy and followed up for 1- 3 years . Definition of effect for surgery were determined as A Nice :Intraocular Pressure( IOP) ≤16 mmHg , visual acuity≥ , Optic Nerve and vision field without advanced damage ; B Good : no a medication or only local medication of topical a drops, IOP≤21mmHg , visual acuity≥- and optic Nerve and vision field without advanced damage; C No effect:IOP could not been cont