中国青光眼患者小梁切除术中使用丝裂霉素C的疗效

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:kmffly
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BACKGROUND AND OBJECTIVE: To report the results of trabeculectomy with adjunctive intraoperative mitomycin C in Chinese patients with glaucoma. PATIENTS AND METHODS: The medical records of Chinese patients who received trabeculectomy with intraoperative mitomycin C from 1992 to 1998 were retrospectively reviewed. A “ successful” trabeculectomy was defined as one after which the intraocular pressure (IOP) could be controlled to between 5 and 21 mm Hg,inclusive,with no more than 3 glaucoma medications. RESULTS: One hundred fourteen trabeculectomies in 105 eyes of 90 patients were retrospectively reviewed. Mean age ± standard deviation was 48.1 ± 21.9 years. Primary open-angle glaucoma (43.0% ) and angle-closure glaucoma (27.2% ) were the most common diagnoses leading to trabeculectomy. The mean follow-up ± standard deviation was 29.6 ± 18.6 mo-nths (range,6 to 92 months). The overall success rate at the last followup was 73.7% (84 of 114 trabeculectomies). CONCLUSIONS: Trabeculectomy with mitomycinC is a safe and effective procedure for the control of IOP in Chinese patients with glaucoma. BACKGROUND AND OBJECTIVE: To report the results of trabeculectomy with adjunctive intraoperative mitomycin C in Chinese patients with glaucoma. PATIENTS AND METHODS: The medical records of Chinese patients who received trabeculectomy with intraoperative mitomycin C from 1992 to 1998 were retrospectively reviewed. A “successful” trabeculectomy was defined as one after which the intraocular pressure (IOP) could be controlled between 5 and 21 mm Hg, inclusive, with no more than 3 glaucoma medications. RESULTS: One hundred fourteen trabeculectomies in 105 eyes of 90 patients were retrospectively reviewed. Mean open ± standard deviation was 48.1 ± 21.9 years. Primary open-angle glaucoma (43.0%) and angle-closure glaucoma (27.2%) were the most common diagnoses leading to trabeculectomy. The mean follow-up ± standard deviation was 29.6 ± 18.6 mo-nths (range, 6 to 92 months). The overall success rate at the last follow up was 73.7% (84 of 114 trabeculectomies). CONCLUSIONS: Trabeculec tomy with mitomycin C is a safe and effective procedure for the control of IOP in Chinese patients with glaucoma.
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