卜秀荣, 王玉国, 张骜坤
Abstract
目的:探讨非穿透小梁切除羊膜植入术治疗开角型青光眼的机理及疗效评价.方法:对20例32眼开角型青光眼患者行非穿透小梁切除羊膜植入术,术后观察视力,眼压、滤过泡及眼内反应.随访1～8个月,平均6.2个月.结果:眼压:术前32眼平均眼压48.6mmHg,术后除1例1眼眼压高达25mmHg外,19例31眼均控制在7～20mmHg之内,手术成功率达96.9%.术后视力均有显著提高,滤过泡扁平弥漫,轻微充血,无新生血管及纤维增殖发生.结论:羊膜取材简便,疗效显著,为非穿透小梁手术提供了有效安全植入材料.可考虑广泛用于开角型青光眼的治疗.
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目的:探讨非穿透小梁切除羊膜植入术治疗开角型青光眼的机理及疗效评价.方法:对20例32眼开角型青光眼患者行非穿透小梁切除羊膜植入术,术后观察视力,眼压、滤过泡及眼内反应.随访1～8个月,平均6.2个月.结果:眼压:术前32眼平均眼压48.6mmHg,术后除1例1眼眼压高达25mmHg外,19例31眼均控制在7～20mmHg之内,手术成功率达96.9%.术后视力均有显著提高,滤过泡扁平弥漫,轻微充血,无新生血管及纤维增殖发生.结论:羊膜取材简便,疗效显著,为非穿透小梁手术提供了有效安全植入材料.可考虑广泛用于开角型青光眼的治疗.
Key concepts: Trabeculectomy, Medicine, Ophthalmology, Glaucoma