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虹膜新生血管丛(Rubeosis)和新生血管性青光眼,治疗结果均不满意。局部滴用睫状肌麻痹剂和皮质激素可使疼痛缓解,但不能控制青光眼。碳酸酐酶抑制剂虽能降低眼压,但也很少能满意地控制青光眼。常规滤过性手术亦很少成功。自1972年已有应用睫状体冷冻治疗者。本文选择长期随诊的病例以确定睫状体冷冻对新生血管性青光眼的治疗效果。 1972—1976年,50例眼压不能控制而有疼痛的新生血管性青光眼,做睫状体冷冻术。其中46例50眼临床资料较全,做为研究对象。手术先行球后麻醉,用直径2.5mm的视网膜冷冻头,在角膜缘后2—3mm冷冻全周睫状体。
Irritation of Rubeosis and neovascular glaucoma were unsatisfactory. Topical cycloplegics and corticosteroids can relieve pain, but can not control glaucoma. Carbonic anhydrase inhibitors, although reducing intraocular pressure, rarely control glaucoma satisfactorily. Routine filtering surgery has also been seldom successful. Ciliary body cryotherapy has been used since 1972. This article selects long-term follow-up of cases to determine the ciliary body cryogenic treatment of neovascular glaucoma. 1972-1976, 50 cases of intraocular pressure can not control the pain of neovascular glaucoma, ciliary body cryotherapy. 46 of them 50 cases of clinical data more complete, as the research object. Surgical first ball after anesthesia, with a diameter of 2.5mm retinal cryosection, 2-3mm in the corneal limbal circumference around the ciliary body frozen.