青光眼小梁切除联合可松解巩膜瓣缝线的临床体会

The clinical experience of trabeculectomy combinedwith the releasable suture of scleral flap of glancama

关键词:  青光眼  小梁切除术  可松解缝线

Key words:  glaucoma  trabeeulectomy  releasable suture

摘要:

评价青光眼小梁切除联合可松解巩膜瓣缝线术的临床效果。方法：随机选取原发性闭角型青光眼36眼，均行小梁切除联合可松解巩膜瓣缝线术。结果：同手术前1日比，术后3眼远视力提高，28眼远视力无变化，5眼远视力下降。术后36眼前房立即形成，其中Ⅰ度浅前房5眼，正常深前房31眼。术后早期6眼眼压＞15 mmHg，30眼眼压6～14 mmHg。术后第1天、第3天分别拆除单侧可松解巩膜瓣缝线30眼；第6～9天及第12天，同时拆除两根可松解巩膜瓣缝线30眼。结论：同单纯小梁切除术报道情况比，小梁切除联合可松解巩膜瓣缝线术具有术后并发症少、疗效佳等优点

Abstract:

Objective:To evaluate the clinical effect of trabeculectomy combined with the releasable suture of scleral flap of glaucoma. Mehtod:36 eyes suffering from primary angle-closure glaucoma were operated by trabeculectomy combined with the releasable suture of glaucoma. Results:Far Vision of 3 eyes increased and that of 28 eyes did not change while that of 5 eyes diminished after operation, compared with before operation.The anterior chambers of 36 eyes were immediately formed after operation. The anterior chambers of 5 eyes were shallow and the ones of 31 eyes were normally deep.The intraocular pressure(IOP)of 6 eyes was over 15mmHg early after operation;The IOP of 30 eyes was 6-14mmHg. The unilateral releasable sutures of scleral flap of 6 eyes were respectively removed the first day and the third day after operation while the bilateral ones of 30 eyes were done meanwhile. Conclusion:Compared with the reports of simply trabeculectomy,the trabeculectomy combined with the releasable suture of scleral flap had less complications and better effect