闭角型青光眼可松解缝线小梁切除术的临床分析.doc

临床医学论文-闭角型青光眼可松解缝线小梁切除术的临床分析
【关键词】  ,,闭角型青光眼
    (广东省南雄市人民医院,     广东     南雄     512400)
摘     要:目的:探讨用可松解缝线小梁切除术治疗闭角型青光眼手术的特点,手术安全性及治疗效果。方法:回顾性分析进行可松解缝线小梁切除术治疗的42例48眼的术前术后视力、眼压、手术并发症和手术成功率。结果:本组病例手术前后均未出现暴发性脉络膜出血、眼内出血、恶性青光眼等严重并发症,浅前房的发生率低(6/48),6眼在高眼压状态下行小梁切除术的眼术后近期反应重,经过适当的处理,手术效果仍然良好;28眼低视力的闭角型青光眼行人工可松解缝线小梁切除术,有1眼出现残余视力丧失(1/28),说明该手术是较安全的,但也有导致残余视力丧失的风险。结论:闭角型青光眼行可松解缝线切除术是安全有效,对高眼压及低视力闭角型青光眼应及时手术治疗,以保持较好视功能。
关键词:     闭角型青光眼;     小梁切除术;     可松解缝线(可拆除缝线)
The Clinical Analysis of Suture Lysisable Trabeculectomy for Angle-closure a
XIAO Fang-xing
(The People's Hospital of Nanxiong, Guangdong Nanxiong 512400, China)
Abstract: Objective: To investigate the safety and efficacy of adjust suture trabeculectomy for angle-closure a. Methods: Retrospectivly analyzed 42 cases(48eyes) of angle-closure a, which underwent suture lysisable trabeculectomy, analyzed the IOP , visual acuity, complications and surgery e of the groups. Results:  No plications such as choroidal hemorrhage, intraocular hemorrhage and malignant a were observed in all cases during surgery and postoperatively. The rate of flat anterior chamber was low, the recent react of high IOP eyes was severer, with the correct deal , the effect of the high IOP eyes as good as the others, one eye lose the vision in 28 eyes which with low vision angle -closure a during postoperatively. That`s say the suture lysis trabe