| 陈宁宁 张奕霞 李彩云 张晖 刘臻.不同术式治疗新生血管性青光眼的疗效比较[J].,2014,14(3):515-517 |
| 不同术式治疗新生血管性青光眼的疗效比较 |
| Clinical Effects of Different Operation Ways on Neovascular Glaucoma |
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| DOI： |
| 中文关键词: 新生血管性青光眼 改良小梁切术 引流阀植入术联合全视网膜光凝术 单纯睫状体冷凝术 |
| 英文关键词: Neovaseular glaucoma Improved trabeculectomy G1aucoma valve combined with retinal photocoagulation Retinal
photocoagulation |
| 基金项目: |
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| 中文摘要: |
| 目的：比较不同手术方法治疗新生血管性青光眼(neovascular glaucoma，NVG)的疗效。方法：对接受不同术式治疗的57 例57
只眼NVG 的临床资料进行回顾性分析，其中行单纯睫状体冷凝术20 例(A组)，改良小梁切除术15 例(B 组)，引流阀植入术联合
全视网膜光凝术22 例(C 组)。比较各组患者手术前后主观眼痛症状、眼压及视力变化情况，并随访3～6 个月。结果：A 组患者出
院时的平均眼压为(28.13± 4.83) mmHg，B 组为(19.24± 5.48) mmHg，C 组为(21.22± 4.76) mmHg。随访期间，术后A 组9 例眼压
正常，手术成功率45%；B组11 例眼压正常，手术成功率73.3%；C 组13 例眼压正常，手术成功率57.1%。B组手术成功率最高，A
组最低。结论：三种手术方法均可不同程度降低新生血管性青光眼的眼压。单纯睫状体冷凝术后眼压控制效果欠佳，有视力眼不
宜采用此种手术方式；改良小梁切除术是治疗新生血管性青光眼安全、有效、经济的手术方式；引流阀植入术联合全视网膜光凝
术费用较高。 |
| 英文摘要: |
| Objective:To evaluate the clinical effects of different surgical management on neovascular glaucoma (NVG).Methods:57 eyes in 57 cases with neovascular glaucoma received different surgical managements were analyzed retrospectively. All
cases were divided into three groups: 20 eyes in the group A were treated by cyclocryotherapy, 15 eyes in the group B were treated by
improved trabeculectomy, 22 eyes in the group were treated with g1aucoma valve combined with retinal photocoagulation. Pre and
post-operative intraocular pressures (I0Ps) were observed and compared among the three groups. The changes in visual acuity were
evaluated.Results:On discharge from the hospital, the intraocular pressure (IOP) in group A, B, C were respectively (28.13± 4.83)
mmHg, (19.24± 5.48) mmHg and (21.22± 4.76) mmHg, the surgery successful rate were respectively 45%, 73.3%and 57.1%, which
was highest in group B and lowest in group A.Conclusion:Various operation ways may lower the intraocular pressure in neovascular
glaucoma at different degrees. Retinal photocoagulation was not effective enough, improved trabeculectomy was an effective, safe and
economical method for the treatment of neovascular glaucoma, while glaucoma valve combined with retinal photocoagulation was
relatively more expensive. |
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