论文部分内容阅读
目的 观察外路小梁切开联合小梁切除术治疗婴幼儿型青光眼的疗效。方法 对 1988～1997年我科用联合手术所做的 48例 (86眼 )病例随访 4～ 12 0月 ,阐述手术要点、并发症的预防和处理 ,及手术失败的原因。结果 眼压控制率出院时 95 3 % ,远期为 92 0 %。手术时年龄 <2岁者 ,远期眼压控制率 (93 7% )略高于 2～ 6岁者 (90 7% ) ,两组间差异无显著性 (P >0 0 5 )。角膜横径分别较术前平均减少 0 6mm和 0 3mm ,两组间差异有显著性 (P <0 0 1)。结论 该手术与其它手术相比并发症无增加 ,成功率高 ,是治疗婴幼儿型青光眼的较好方法。早期发现、早期治疗对预后有重要意义。
Objective To observe the effect of trabeculectomy combined with trabeculectomy in the treatment of infantile glaucoma. Methods A total of 48 cases (86 eyes) who underwent combined surgery between 1988 and 1997 were followed up for 4 ~ 12 months. The main points of the operation, the prevention and treatment of complications, and the causes of the operation failure were described. Results IOP was 95 3% at discharge and 92 0% at long-term. The control rate of long-term intraocular pressure (93.7%) was slightly higher than that of patients aged 2-6 years (90.7%) at the age of <2 years. There was no significant difference between the two groups (P> 0.05). The average corneal diameter decreased by 0 6 mm and 0 3 mm respectively compared with that before operation, the difference was significant (P <0.01). Conclusion Compared with other operations, this operation has no complications and high success rate. It is a good way to treat infantile glaucoma. Early detection, early treatment of prognostic significance.