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为观察滤过手术联合a干扰素,治疗难治性青光眼的疗效,将34例(42只眼)难治性青光眼随机分为aIF治疗组22只眼与5FU对照组20只眼。治疗组术中、术后,采用aIF球内(玻璃体内)或结膜下注射,对照组术后采用5FU结膜下注射。术后随访5~14个月。结果aIF治疗组手术成功率为818%(18/22)5FU对照组为85%(17/20),P>005。功能性滤过泡眼数,aIF治疗组为17/22,5FU对照组为16/20。治疗组未见明显全身和局部副作用。结论:aIF能促进滤过泡的形成,提高青光眼滤过手术的成功率,效果同5FU。
34 cases (42 eyes) refractory glaucoma were randomly divided into a IF treatment group 22 eyes and 5 FU control group 20 eye. Treatment group intraoperative and postoperative, using a IF intravitreous (vitreous) or subconjunctival injection, the control group after the use of 5 FU subconjunctival injection. The patients were followed up for 5 to 14 months. Results a IF treatment group was 81.8% (18/22) 5 FU control group was 85% (17/20), P> 0 05. The number of functional filter blisters, a IF treatment group was 17/22, 5 FU control group was 16/20. The treatment group showed no obvious systemic and local side effects. Conclusion: aIF can promote the formation of filtration bleb, improve the success rate of glaucoma filtration surgery, with the same effect 5FU.